NPI 1124615257

Ranita a Walker, CPT

Practitioner Phlebotomy Technician East Saint Louis, IL

Practice location

Address: 514 N 57th St, East Saint Louis, IL 62203-1304
Phone: (618) 772-2721

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence F2X4T9Q2 (MO)

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Registry record

NPI: 1124615257
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2020
Record last updated: 29 Jan 2021

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.