Organization
IBT-MOBILE TRIAGE
Active
Parent organization
ICED BY TRICE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ICED BY TRICE LLC
Authorized official
LATRICE BROWN NRCMA, CPT (MEDICAL ASSISTANT)
(347) 872-2304
Entity
Organization
Contact information
Practice address
6349 WALNUT FOREST CT, HENRICO, VA 23231-5328
(347) 872-2304
Mailing address
6349 WALNUT FOREST CT, HENRICO, VA 23231-5328
(134) 787-2230
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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