Individual
STACI HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
438 E SPRUCE AVE UNIT 143, INGLEWOOD, CA 90301-6374
(424) 312-3078
Mailing address
438 E SPRUCE AVE UNIT 143, INGLEWOOD, CA 90301-6374
(424) 312-3078
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
00021865
CA
Other
Enumeration date
12/01/2020
Last updated
11/19/2024
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