Individual provider · Type 1 NPI
Johnette B. Wilson Iii, R.T.
Radiologic Technologist · Oakland, CA
NPI number
1285898809
Active
Practice location
2923 75th Ave
Oakland, CA 94605-2903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiologic Technologist Primary | 247100000X | 44981 (CA) |
| Radiologic Technologist | 247100000X | 176908 (CA) |
Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
About NPI 1285898809
Johnette B. Wilson Iii, R.T.'s National Provider Identifier is 1285898809, issued on Jul 13, 2008. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Oakland, CA. The record was last updated on Jul 13, 2008.