Most Relevant Information
Provider Data
| NPI Number: | 1003515305 |
| Provider Name: | ANTOINETTE DENISE DUCKETT RADT |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/27/2023 |
| Last Updated: | 04/21/2023 |
Provider Practice Location
37049 33RD ST E
PALMDALE
CA
935506649
Practice Location Phone/Fax
| Phone: | 8188368871 |
| Fax: |
Provider Mailing Location
37049 33RD ST E
PALMDALE
CA
935506649
Provider Mailing Phone/Fax
| Phone: | 8188368871 |
| Fax: |