Individual
GLADINE VALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
154 42ND ST, COPIAGUE, NY 11726-1108
(631) 245-2079
Mailing address
154 42ND ST, COPIAGUE, NY 11726-1108
(631) 245-2079
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
132-10229
NY
246RP1900X
Phlebotomy Technician
—
—
376K00000X
Nurse's Aide
343619041014E
NY
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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