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Organization

EMPOWERED PROFESSIONAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKISHA ROSE KEARSE CCMA CERTIFICATION (CERTIFIED MEDICAL ASSISTANT)
(347) 858-2103
Entity
Organization

Contact information

Practice address
351 MERLINE RD STE 211, VERNON, CT 06066-4040
(860) 888-9233
Mailing address
351 MERLINE RD STE 211, VERNON, CT 06066-4040
(860) 888-9233

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
374J00000X
Doula

Other

Enumeration date
11/14/2025
Last updated
11/14/2025
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