Individual
MRS. RUTHIE CONSUELA NTANDJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
1750 E. 87TH ST, SUITE 104, CHICAGO, IL 60617
(773) 577-0246
Mailing address
1722 E 84TH ST, CHICAGO, IL 60617-2203
(312) 388-1235
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
20-0997Y13
IL
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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