Individual
SAM FERRELL
Active
Individual
SAM FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCT(ASCP), MT(AMT)
Taxonomy
Speciality
Code
Description
License number
State
246QC2700X
Cytotechnology Specialist/Technologist
Primary
02039975
CA
246QC2700X
Cytotechnology Specialist/Technologist
676
—
291U00000X
Clinical Medical Laboratory
2736023
—
Other
Enumeration date
07/06/2021
Last updated
07/09/2021
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