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Individual

JUSTIN J PATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPT1

Contact information

Practice address
1459 MYRTLE AVE, EUREKA, CA 95501-1304
(707) 442-0881
(707) 442-1084
Mailing address
1732 BIRD AVE, MCKINLEYVILLE, CA 95519-3881
(530) 738-3474

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT-02392352
CA

Other

Enumeration date
02/09/2024
Last updated
03/08/2024
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