| NPI | 1104589126 |
|---|---|
| Former Name | CHONA RONDILLA CRISOSTOMO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: AZ 23280951) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2022-02-22 |