person
Idesta Ralph
Phlebotomy Technician in College Park, Georgia
NPI 1205235371

Idesta Ralph is a Phlebotomy Technician based in College Park, GA and is specialized in Phlebotomy. Idesta Ralph practices in College Park, GA. The NPI Number for Idesta Ralph is 1205235371 and holds a License No. 56083 (Georgia).

The current practice location address for Idesta Ralph is 5530 Old National Hwy Bldg 5530-B2, College Park, GA and can be reached out via phone at 470-818-2264 and via fax at 866-984-3729.

Location: 5530 Old National Hwy Bldg 5530-B2, College Park, GA, 30349-6234
person
Provider Profile Details
NPI Number
1205235371
Provider Name
Idesta Ralph
Credential
Provider Entity Type
Individual
Gender
Female
Address
5530 Old National Hwy Bldg 5530-B2, College Park, GA, 30349-6234
Phone Number
470-818-2264
Fax Number
866-984-3729
Provider Enumeration Date
08/14/2014
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
5530 Old National Hwy Bldg 5530-B2
City
State
Zip
30349-3356
Phone Number
470-818-2264
Fax Number
866-984-3729
person
Provider Business Mailing Address Details
Address
5530 Old National Hwy Bldg 5530-B2
City
State
Zip
30349-3356
Phone Number
470-818-2264
Fax Number
866-984-3729
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
License No.
56083 (New York)
Definition
Definition to come...
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