Individual
MRS. NICOLE ANDREOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT(ASCP)
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7100
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7100
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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