Provider Demographics
NPI:1023174174
Name:ALBAUGH, VICKY (RDCS)
Entity type:Individual
Prefix:MRS
First Name:VICKY
Middle Name:
Last Name:ALBAUGH
Suffix:
Gender:F
Credentials:RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9461 WINEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7926
Mailing Address - Country:US
Mailing Address - Phone:916-684-9520
Mailing Address - Fax:
Practice Address - Street 1:9461 WINEWOOD CIR
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7926
Practice Address - Country:US
Practice Address - Phone:916-684-9520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography