NPI | 1013724673 |
---|---|
Former Name | ALEXANDRIA LATISHA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy (Licence: CA CPT-01006646) |
Enumeration Date | 2024-12-16 |
Last Update Date | 2024-12-16 |