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Ms. Ileana Ivelisse Rivera, CPI
Phlebotomy Technician in Lakeland, Florida
NPI 1023759826

Ileana Ivelisse Rivera is a Phlebotomy Technician based in Lakeland, FL and is specialized in Phlebotomy. Ileana Ivelisse Rivera practices in Lakeland, FL and has the professional credentials of CPI. The NPI Number for Ileana Ivelisse Rivera is 1023759826 and holds a License No. 3162-160-065-6023 (Florida).

The current practice location address for Ileana Ivelisse Rivera is 465 S Grady Ave, Lakeland, FL and can be reached out via phone at 863-660-4180.

Location: 465 S Grady Ave, Lakeland, FL, 33801-1747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023759826
Provider Name
Ileana Ivelisse Rivera
Credential
CPI
Provider Entity Type
Individual
Gender
Female
Address
465 S Grady Ave, Lakeland, FL, 33801-1747
Phone Number
863-660-4180
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275296667 01 FL NPI
institution
Provider Business Practice Location Address Details
Address
465 S Grady Ave
City
Lakeland
State
Florida
Zip
33815-4017
Phone Number
863-660-4180
Fax Number
person
Provider Business Mailing Address Details
Address
465 S Grady Ave
City
Lakeland
State
Florida
Zip
33815-4017
Phone Number
863-660-4180
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
246RP1900X
License No.
3162-160-065-6023 (Massachusetts)
Definition
Definition to come...
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