Individual
KIANA JANAY SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 GLENWOOD AVENUE, SUITE 200 PMB 1100, RALEIGH, NC 27612
(910) 446-5520
Mailing address
5075 MORGANTON RD, STE 10C #1377, FAYETTEVILLE, NC 28314-1534
(910) 446-5520
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-2847783
PHLEBOTOMY
NC
Enumeration date
07/15/2022
Last updated
08/22/2022
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