Individual
MS. ANDREA MONIQUE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 OUTER BELLE RD APT A, DAYTON, OH 45426-1538
(937) 307-9639
(937) 715-4049
Mailing address
221 OUTER BELLE RD APT A, DAYTON, OH 45426-1538
(937) 626-4575
(937) 715-4049
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
F2L5L5E5
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F2L5L5E5
NHA
OH
Enumeration date
01/25/2021
Last updated
01/25/2021
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