Individual
UTETHIA AUDAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
4820 OLD BRIAR TRL, DOUGLASVILLE, GA 30135-2630
(772) 626-3763
Mailing address
4820 OLD BRIAR TRL, DOUGLASVILLE, GA 30135-2630
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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