Doctor Name: | MISS ROCHELLE ENIS ST.CLAIR |
NPI Number: | 1003119496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPT(ASPT) |
License Number: | |
Business Practice Address: | 10513 Penfield Ave Garfield Heights, OH - 441252604 |
Business Phone Number: | 2165540487 |
Business Fax Number: | |
Mailing Address: | 10513 Penfield Ave, GARFIELD HEIGHTS |
State: | OH |
Postal Code: | 441252604 |
Phone Number: | 2165540487 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2010 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RP1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Phlebotomy |
Taxonomy Definition: |