| NPI | 1942615133 |
|---|---|
| Former Name | FELICIA CELETTE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL 20-0029R14) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-06-09 |