Jensen Domingo Manabat, RADIOLOGIC TECHNOLOG
NPI #1073033924 in Thousand Oaks, California
Provider Information
- NPI Number
- 1073033924
- Entity Type
- Individual
- Name
- Jensen Domingo Manabat, RADIOLOGIC TECHNOLOG
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Credential
- RADIOLOGIC TECHNOLOG
- Enumeration Date
- Jun 21, 2017
- Last Updated
- Jun 21, 2017
Practice Location
- Address
- 550 SAINT CHARLES DR
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91360-3951
- Phone
- (805) 579-0288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
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