Individual
IFETAYO JADA NANDI LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7520 FOREST BLVD, NORTH LAUDERDALE, FL 33068-1333
(954) 513-8972
Mailing address
7520 FOREST BLVD, NORTH LAUDERDALE, FL 33068-1333
(954) 513-8972
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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