Organization
WALLS PHLEBOTOMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL PAREDES CPT 1 (LEAD PHLEBOTOMIST)
(916) 741-2944
Entity
Organization
Contact information
Practice address
210 ESTATES DR STE 200, ROSEVILLE, CA 95678-2300
(916) 741-2944
(559) 478-2706
Mailing address
6050 PLACER WEST DR APT 509, ROCKLIN, CA 95677-4614
(916) 741-2944
(559) 478-2706
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
09/07/2024
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