Organization
IMPERIAL VALLEY MOBILE PHLEBOTOMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIC BURGUNDI CORTES CPT (OWNER/CPT)
(442) 340-4706
Entity
Organization
Contact information
Practice address
1621 VIRGINIA LN, EL CENTRO, CA 92243-9664
(442) 340-4706
Mailing address
1621 VIRGINIA LN, EL CENTRO, CA 92243-9664
(442) 340-4706
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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