Individual provider · Type 1 NPI

Gemontasia Kiriaqua Jackson

Phlebotomy Technician · Milwaukee, WI

NPI number 1629841200 Active

Practice location

2872 N 59th St
Milwaukee, WI 53210-1504

Call (414) 939-5802 Map

Specialties and licenses

TaxonomyCodeLicense
Phlebotomy Technician Primary 246RP1900XNone listed

Phlebotomy Technician: Definition to come...

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About NPI 1629841200

Gemontasia Kiriaqua Jackson's National Provider Identifier is 1629841200, issued on Nov 6, 2023. The primary taxonomy on file is Phlebotomy Technician (246RP1900X), and the practice location is in Milwaukee, WI. The record was last updated on Dec 13, 2023.