Individual
MRS. VICKYANA A VANDERPOOL-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, CPT
Contact information
Practice address
9200 NW 39TH AVE STE 130-3253, GAINESVILLE, FL 32606-7331
(813) 438-4122
Mailing address
1401 N MAIN ST # 5993, GAINESVILLE, FL 32601-4369
(813) 438-4122
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
48083-PT19
FL
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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