Organization
SIERRA NEVADA MOBILE PHLEBOTOMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GRACE (OWNER)
(720) 975-6915
Entity
Organization
Contact information
Practice address
686 W LINE ST, BISHOP, CA 93514-3315
(760) 582-6789
(760) 678-6088
Mailing address
686 W LINE ST, BISHOP, CA 93514-3315
(760) 582-6789
(760) 678-6088
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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