Individual
BEVERLY CLAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
SU 31566
FL
246QM0706X
Medical Technologist
Primary
107058
AL
Other
Enumeration date
04/17/2011
Last updated
04/17/2011
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