Individual
MS. ALEXYIS FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT, CCMA
Contact information
Practice address
3831 HOHMAN AVE # 1072, HAMMOND, IN 46327-1160
(872) 256-0655
Mailing address
3831 HOHMAN AVE # 1072, HAMMOND, IN 46327-1160
(872) 256-0655
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
3811-6669
AL
261Q00000X
Clinic/Center
3877-6669
AL
Other
Enumeration date
04/27/2024
Last updated
04/30/2024
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