Individual
CARLA YAVETTE ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT01008218
Contact information
Practice address
1515 AURORA DR, SAN LEANDRO, CA 94577-3105
(510) 969-7178
Mailing address
30042 MISSION BLVD # 121222, HAYWARD, CA 94544-7255
(510) 585-1312
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT01008218
CA
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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