Individual
WANDA I RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
1510 CHARM LN, TAMPA, FL 33612-6063
(813) 463-3538
Mailing address
1510 CHARM LN, TAMPA, FL 33612-6063
(813) 463-3538
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
10/26/2021
Last updated
11/08/2021
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