Individual
RANITA A WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
514 N 57TH ST, EAST SAINT LOUIS, IL 62203-1304
(618) 772-2721
Mailing address
514 N 57TH ST, EAST SAINT LOUIS, IL 62203-1304
(618) 772-2721
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
F2X4T9Q2
MO
Other
Enumeration date
12/22/2020
Last updated
01/29/2021
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