Individual
TAKISHA RAYFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1128 BROOKLEY BLVD, TOLEDO, OH 43607-3048
(419) 870-2179
Mailing address
1128 BROOKLEY BLVD, TOLEDO, OH 43607-3048
(419) 870-2179
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
20-1020R20
OH
246RP1900X
Phlebotomy Technician
OH17366E405
OH
Other
Enumeration date
08/14/2020
Last updated
09/09/2020
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