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Khandra Aries Ivy
Phlebotomy Technician in Okolona, Mississippi
NPI 1063199750

Khandra Aries Ivy is a Phlebotomy Technician based in Okolona, MS and is specialized in Phlebotomy. Khandra Aries Ivy practices in Okolona, MS. The NPI Number for Khandra Aries Ivy is 1063199750 and holds a License No. (Mississippi).

The current practice location address for Khandra Aries Ivy is 127 Drive 156, Okolona, MS and can be reached out via phone at 662-760-3031.

Location: 127 Drive 156, Okolona, MS, 38860-9677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063199750
Provider Name
Khandra Aries Ivy
Credential
Provider Entity Type
Individual
Gender
Female
Address
127 Drive 156, Okolona, MS, 38860-9677
Phone Number
662-760-3031
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
127 Drive 156
City
Okolona
State
Mississippi
Zip
38860-9677
Phone Number
662-760-3031
Fax Number
person
Provider Business Mailing Address Details
Address
127 Drive 156
City
Okolona
State
Mississippi
Zip
38860-9677
Phone Number
662-760-3031
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
246RP1900X
License No.
()
Definition
Definition to come...
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