Individual
RODRICKA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PBT(ASCP)
Contact information
Practice address
1608 KONNER WOODS DR, LEXINGTON, KY 40511-1182
(859) 270-8680
Mailing address
1608 KONNER WOODS DR, LEXINGTON, KY 40511-1182
(859) 270-8680
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
46954
KY
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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