Doctor Name: | JACQUELINE KING |
NPI Number: | 1124443866 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 7 Seafield Ln Westhampton Beach, NY - 119782714 |
Business Phone Number: | 6312881122 |
Business Fax Number: | |
Mailing Address: | 7 Seafield Ln, WESTHAMPTON BEACH |
State: | NY |
Postal Code: | 119782714 |
Phone Number: | 6332881122 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2014 |
NPI Last Update Date: | 03/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RP1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Phlebotomy |
Taxonomy Definition: |