Individual
VANESSA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 BAKER ST, REIDSVILLE, NC 27320-2701
(984) 322-1070
Mailing address
727 BAKER ST, REIDSVILLE, NC 27320-2701
(984) 322-1070
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
6323-22
NC
Other
Enumeration date
03/13/2023
Last updated
03/20/2023
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