Individual
RUTH EILEEN IKUOMOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT, MLA
Contact information
Practice address
621 E NASHVILLE AVE, VAIL, AZ 85641-2318
(520) 221-9951
Mailing address
621 E NASHVILLE AVE, VAIL, AZ 85641-2318
(520) 221-9951
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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