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Organization

EVERGREENE MOBILE PHLEBOTOMY

Active
Other names
n/a
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATIMA G MCCULLOUGH (CEO)
(551) 587-2323
Entity
Organization

Contact information

Practice address
116 LAFAYETTE PL, ENGLEWOOD, NJ 07631-3328
(551) 587-2323
Mailing address
116 LAFAYETTE PL, ENGLEWOOD, NJ 07631-3328
(551) 587-2323

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
01/30/2023
Last updated
01/30/2023
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