Individual
MICHIA ALIESHA ROANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
302 ADAIR CT, JOPPA, MD 21085-3802
(141) 096-1281
Mailing address
302 ADAIR CT, JOPPA, MD 21085-3802
(141) 096-1281
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
5006-16
MD
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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