Individual
TIESHA M TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19710 GOVERNORS HWY STE 5, FLOSSMOOR, IL 60422-2081
(815) 531-7208
(708) 794-3666
Mailing address
19710 GOVERNORS HWY STE 5, FLOSSMOOR, IL 60422-2081
(815) 531-7208
(708) 794-3666
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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