| NPI | 1962944314 |
|---|---|
| Former Name | DEURIA FIELDS-KERCADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: NY m2c2r9g2) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NY p9j3w8z7) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |