Individual
ERNESTINE SHANIKA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PBT(ASCP)CM
Contact information
Practice address
372 MAPLE RD, EAST AURORA, NY 14052-1455
(919) 338-7860
Mailing address
372 MAPLE RD, EAST AURORA, NY 14052-1455
(919) 338-7860
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
49193
NY
Other
Enumeration date
08/04/2022
Last updated
08/18/2022
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