Individual
MS. CARMELLA DIANE MOREGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
1432 S 56TH ST, PHILADELPHIA, PA 19143-4733
(215) 729-2019
(215) 729-2019
Mailing address
1432 S 56TH STREET, PHILADELPHIA, PA 19143
(215) 729-2019
(215) 729-2019
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
PA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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