Individual
MS. SHANQUETTA LASHAY NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
991 NW 16TH TER, FORT LAUDERDALE, FL 33311-6943
(954) 253-6914
Mailing address
991 NW 16TH TER, FORT LAUDERDALE, FL 33311-6943
(954) 253-6914
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87-2470353
MOBILE PHLEBOTOMY
FL
01
—
872470353
MOBILE PHLEBOTOMY COMPANY
FL
Enumeration date
12/03/2021
Last updated
12/03/2021
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