Individual
IESHA E WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14915 MAIN ST, HARVEY, IL 60426-2235
(773) 256-7627
Mailing address
14915 MAIN ST, HARVEY, IL 60426-2235
(773) 256-7627
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
6644-45655
IL
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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