| NPI | 1760936900 |
|---|---|
| Doing Business As | COASTAL PHLEBOTOMY |
| Entity Type | Organization |
| Authorized Contact | YVONNE MARIE JONES Owner 207-542-9826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: ME 8765180) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: ME 8765180) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |