IDESTA RALPH

COLLEGE PARK, GA
NPI1205235371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246RP1900X Technician, Pathology Phlebotomy
(Licence: NY  56083)
Enumeration Date2014-08-14
Last Update Date2024-10-16
Business Address
IDESTA RALPH
5530 OLD NATIONAL HWY BLDG 5530-B2
COLLEGE PARK, GA 30349-3356
Phone number: 470-818-2264
Mailing Address
IDESTA RALPH
5530 OLD NATIONAL HWY BLDG 5530-B2
COLLEGE PARK, GA 30349-6234
Phone number: 470-818-2264