Individual
DESIREE BUFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LABORATORY TECH
Contact information
Practice address
4350 211TH ST STE 210A, MATTESON, IL 60443-3082
(708) 405-6864
Mailing address
4350 211TH ST STE 210A, MATTESON, IL 60443-3082
(708) 405-6864
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
J7A2P8J9
IL
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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