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Individual

DARLENE AYOTTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.M.A.,CPT1

Contact information

Practice address
5185 CERULEAN WAY, OCEANSIDE, CA 92057-1842
(760) 529-2902
Mailing address
5185 CERULEAN WAY, OCEANSIDE, CA 92057-1842
(760) 529-2902

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
247200000X
Other Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CPT43766
STATE LICENSE CPT1
CA
01
NCCT656717
CERTIFIED MEDICAL ASSISTANT
CA
Enumeration date
06/14/2011
Last updated
06/14/2011
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