NPI 1194426767

Mondrakus Harper

Practitioner Phlebotomy Technician Black Jack, MO

Practice location

Address: 12565 Evening Shade Dr, Black Jack, MO 63033-8513
Phone: (314) 583-1477
Fax: (314) 216-3926

Registered specialties (2)

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence B6P44F8Q3 (KY)

Other Technician, Pathology providers in Missouri →

Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X Licence 134849 (MO)

Other Nurse's Aide providers in Missouri →

Registry record

NPI: 1194426767
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2023
Record last updated: 13 Mar 2023

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.