Organization
DEFINE BLISS AND LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKELL THOMAS MA (DIRECTOR)
(478) 777-6141
Entity
Organization
Contact information
Practice address
1000 CORPORATE POINTE STE 309, WARNER ROBINS, GA 31088-3441
(478) 777-6141
Mailing address
103 KARIS CT, PERRY, GA 31069-4878
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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