Individual
MELISSA WELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMY TECH
Contact information
Practice address
15 ADAMS PL APT 2, LODI, NJ 07644-2966
(973) 405-8977
Mailing address
15 ADAMS PL APT 2, LODI, NJ 07644-2966
(973) 405-8977
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W24015376450822
DRIVERS LICENSE
NJ
Enumeration date
04/18/2020
Last updated
04/18/2020
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