IndividualActive
Charity Siasoco, RT (R) (M)
NPI 1134413768 · Mammography Radiologic Technologist · Coronado, CA
Provider details
- NPI number
- 1134413768
- Entity type
- Individual
- Primary specialty
- Mammography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RT (R) (M)
- Sex
- Female
- Sole proprietor
- Yes
- License
- 311095 (MI)
Mailing address
438 Orange Ave
Coronado, CA 92118-1847
Registry dates
- Enumerated
- 2011-05-31
- Last updated
- 2011-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.