NPI 1043079072

Kristen Idowu

Practitioner Phlebotomy Technician Tavares, FL

Practice location

Address: 12236 Tavares Ridge Ln, Tavares, FL 32778-4460
Phone: (352) 636-2821

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X

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Registry record

NPI: 1043079072
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2024
Record last updated: 13 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.