Organization
SRK CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEEY KEY CPT1 (OWNER)
(626) 316-8915
Entity
Organization
Contact information
Practice address
10808 FOOTHILL BLVD # 635, RANCHO CUCAMONGA, CA 91730-3889
(626) 316-8915
Mailing address
10808 FOOTHILL BLVD # 635, RANCHO CUCAMONGA, CA 91730-3889
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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