Deidra Amico, CPT, CET
Technician, Pathology, Phlebotomy in Maricopa, AZ. Individual provider (NPI-1).
NPI number1639855331
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1639855331
- Entity type
- Individual (NPI-1)
- Name
- Deidra Amico
- Credential
- CPT, CET
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2023
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | R9H3P3P4 | NJ | Yes |
Practice location
45096 W Buckhorn TrlMaricopa, AZ 85139-4171
Phone 520-431-2518
Mailing address
45096 W Buckhorn TrlMaricopa, AZ 85139-4171
Phone 520-431-2518
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