Individual
PRINCESS ANDRIANA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 E OHIO ST STE 410, CHICAGO, IL 60611-5288
(619) 829-3400
Mailing address
230 E OHIO ST STE 410, CHICAGO, IL 60611-5288
(619) 829-3400
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
N23102921
IL
Other
Enumeration date
11/02/2023
Last updated
11/06/2023
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