Individual
MITCHEL TEMPLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
1053 MARIGOLD AVE, PALMDALE, CA 93551-4358
(313) 312-0012
Mailing address
1053 MARIGOLD AVE, PALMDALE, CA 93551-4358
(313) 312-0012
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT10070
CA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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