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TERRICA ALLEN PHLEBOTOMIST
>> Nursing Care >> AgenciesRegistrant NPI Number: 1902488703
Individual Registrant: TERRICA ALLEN PHLEBOTOMIST
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
4301 MORNING VW STONE MOUNTAIN, GA 30083-5290 US
Tel: 334-441-5844 Fax: --
Tel: 334-441-5844 Fax: --
Contact information for business:
4301 MORNING VW STONE MOUNTAIN, GA 30083-5290 US
Tel: 334-441-5844 Fax: --
Tel: 334-441-5844 Fax: --
Registration Information:
NPI: 1902488703
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 251J00000X | Agencies Nursing Care | ||
| Y | 246RP1900X | Technologists, Technicians & Other Technical Service Providers Technician, Pathology |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
