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Organization
INITIAL INNOVATIVE BLOOD, LLC
Active
Organization
INITIAL INNOVATIVE BLOOD, LLC
Active
Other names
Initial Innovative Blood, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED SAMUEL (CEO)
(714) 209-9009
Entity
Organization
Contact information
Practice address
16481 WATERWAY CIR APT B, HUNTINGTON BEACH, CA 92649-3256
(714) 209-9009
(714) 384-7233
Mailing address
16481 WATERWAY CIR APT B, HUNTINGTON BEACH, CA 92649-3256
(714) 209-9009
(714) 384-7233
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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