Organization
ELITE MOBILE PHLEBOTOMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN ROSE DEROUEN (OWNER/ PHLEBOTOMIST)
(951) 570-6579
Entity
Organization
Contact information
Practice address
29229 STEAMBOAT DR, MENIFEE, CA 92585-2621
(951) 570-6579
Mailing address
29229 STEAMBOAT DR, MENIFEE, CA 92585-2621
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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