Individual provider · NPI-1

Bianca Black, Phlebotomist

Technician/Technologist · Philadelphia, PA

NPI number1467032722
StatusActive
Last updated in NPPESApr 19, 2021

Details

NPI
1467032722
Entity type
Individual (NPI-1)
Name
Bianca Black
Credential
Phlebotomist
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 12, 2021
Certification date
Apr 19, 2021
Last updated
Apr 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist–PAYes

Practice location

1942 Penfield St
Philadelphia, PA 19138-2715

Phone 267-266-1696

Mailing address

1942 Penfield St
Philadelphia, PA 19138-2715

Phone 267-266-1696

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