| NPI | 1154868644 |
|---|---|
| Other Name | TANYA STOVALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D2176188) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2020-01-20 |