Individual
SHAKTI D MANBODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOBILE PHLEBOTOMIST
Contact information
Practice address
182 LITTLE ST, BELLEVILLE, NJ 07109-2629
(973) 820-7681
Mailing address
182 LITTLE ST, BELLEVILLE, NJ 07109-2629
(973) 820-7681
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
NJ
Other
Enumeration date
11/08/2019
Last updated
07/21/2022
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