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Individual

STUART ALVIN PRIMACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2601 SUNFAIR RD, JOSHUA TREE, CA 92252-7206
(760) 819-9096
Mailing address
PO BOX 1442, JOSHUA TREE, CA 92252-0828
(760) 363-6454

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT-02477719
CA

Other

Enumeration date
04/15/2025
Last updated
04/21/2025
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