Individual
KRISHONNA RAMIA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT, CCMA
Contact information
Practice address
753 ROBERT BLVD, SLIDELL, LA 70458-1637
(866) 547-5227
(985) 217-1578
Mailing address
753 ROBERT BLVD, SLIDELL, LA 70458-1637
(866) 547-5227
(985) 217-1578
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
328805
LA
Other
Enumeration date
09/07/2023
Last updated
09/20/2023
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