Organization
A & W LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISCHA NAKIA GWIN-WHITE (PHLEBOTOMIST)
(708) 543-9885
Entity
Organization
Contact information
Practice address
3819 WARREN AVE APT 102, BELLWOOD, IL 60104-2058
(708) 543-9885
Mailing address
3819 WARREN AVE APT 102, BELLWOOD, IL 60104-2058
(708) 543-9885
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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