Individual
KEISHA BUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17725 NW 100TH AVE, REDDICK, FL 32686-2603
(352) 620-4041
Mailing address
17725 NW 100TH AVE, REDDICK, FL 32686-2603
(352) 620-4041
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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