Individual
DEIDRA AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT, CET
Contact information
Practice address
45096 W BUCKHORN TRL, MARICOPA, AZ 85139-4171
(520) 431-2518
Mailing address
45096 W BUCKHORN TRL, MARICOPA, AZ 85139-4171
(520) 431-2518
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
R9H3P3P4
NJ
Other
Enumeration date
06/26/2023
Last updated
06/30/2023
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