KUTISTIA DIANE RAGLAND


Address: Psc 490 Bx 7716, Fpo, AP 96538
Phone: 6713449658

KUTISTIA DIANE RAGLAND (NPI# 1326471731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326471731
Entity Type Individual
Full Name KUTISTIA DIANE RAGLAND
Credential ARRT (R) (M)
Practice Address Psc 490 Bx 7716
Fpo
AP 96538
Mailing Address Po Box 20863
Barrigada
GU 96921-0863
Practice Telephone 6713449658
Mailing Telephone 6716882540
Enumeration Date 2013-08-21
Last Update Date 2013-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2471M2300X Radiologic Technologist
Specialization: Mammography
141913 FL Technologists, Technicians & Other Technical Service Providers
Y 2471M2300X Radiologic Technologist
Specialization: Mammography
316179 MN Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address PSC 490 BX 7716
City FPO
State AP
Zip Code 96538

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437593209 Blaed Jacob Gerhart Physician Assistant 1 Farenholt St, Bldg K-1, Fpo, AP 96538 2013-04-24
1568658482 Dexter Dancel Cabral Military Health Care Provider Psc 490 Box 7607, Fpo, AP 96538 2007-09-25
1770789331 Branch Medical Clinic Guam Clinic/Center Building 6 Chapel Road, Santa Rita, GU 96538 2007-06-21
1023084738 Leslie A Boone Occupational Therapist Box 9095, Fpo, AP 96538 2006-02-23
1093786048 Jason Matthew Jones Audiologist Psc 490 Box 7732, Fpo, AP 96538 2006-01-29
1215917893 Ik Jo Ahn Anesthesiology Psc 490, Box 9095, Fpo, AP 96538 2006-01-19
1841270881 Jamie Metcalf Daut Audiologist Pcs 490 Box 7723, Fpo, AP 96538 2006-01-17
1992784052 Donna Marie Hunter Dietitian, Registered Psc 490 Box 9095, Fpo, AP 96538 2006-01-17
1548249600 Ethel Doreen Tomasi Social Worker Psc 490 Box 7704, Fpo, AP 96538 2006-01-16
1689653735 Elizabeth M. Adriano Obstetrics & Gynecology Usnh Guam--obgyn Dept, Psc 490 Box 9025, Fpo, AP 96538 2006-01-16
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Taxonomy Information

Taxonomy Code 2471M2300X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Mammography

Taxonomy Definition

Definition to come...

Competitor

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City FPO
Zip Code 96538

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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