Individual
VICTORIA MARIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
917 10TH ST, MARKHAM, TX 77456
(979) 330-6039
Mailing address
PO BOX 856, MARKHAM, TX 77456-0856
(979) 330-6039
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
64658
TX
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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