MS. Traci Dawn Havens, R.T.

NPI #1962725507 in Philo, Ohio

Provider Information

NPI Number: 1962725507
Entity Type: Individual
Name: MS. Traci Dawn Havens, R.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Radiologic Technologist
Credential: R.T.
Enumeration Date: Mar 10, 2010
Last Updated: Mar 10, 2010

Practice Location

Address: 2705 VIRGINIA RIDGE RD
City: Philo
State: Ohio
ZIP Code: 43771-9761
Phone: (740) 455-1648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X	Primary

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