NPI 1063036051

Kianna Tymoria Boone

Practitioner Phlebotomy Technician Fitzgerald, GA

Practice location

Address: 608 S Lee St, Fitzgerald, GA 31750-3217
Phone: (229) 472-2246

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence 318-10178 (GA)

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Registry record

NPI: 1063036051
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2020
Record last updated: 4 Jun 2020

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.