Doctor Name: | MRS. TOYA TMOUR SPROUL |
NPI Number: | 1245525906 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PBT |
License Number: | |
Business Practice Address: | 4106 Phillip Dr Zion, IL - 600999204 |
Business Phone Number: | 2245959881 |
Business Fax Number: | |
Mailing Address: | 4106 Phillip Dr, ZION |
State: | IL |
Postal Code: | 600999204 |
Phone Number: | 2245959881 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2011 |
NPI Last Update Date: | 06/10/2011 |
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: |