| NPI | 1477399632 |
|---|---|
| Other Name | KANESIA MICHELLE EATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: AL C6T9Q3Y5) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL N5L2C9Z7) |
| Enumeration Date | 2024-07-06 |
| Last Update Date | 2026-02-07 |