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NPI Code Detail

MEDICARE: MISS ROCHELLE ENIS ST.CLAIR RPT(AMT)

MEDICARE:  MISS ROCHELLE ENIS ST.CLAIR  RPT(AMT)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1003119496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ROCHELLE ENIS ST.CLAIR RPT(AMT)
Provider Business Mailing Address
First Line : 5333 NORTHFIELD RD STE 105
Second Line :
City : BEDFORD HEIGHTS
State : OH
Zip : 44146-1150
Country : US
Telephone Number : 888-454-4896
Fax Number : 888-454-4896
Provider Business Practice Location Address
First Line : 5333 NORTHFIELD RD STE 105
Second Line :
City : BEDFORD HEIGHTS
State : OH
Zip : 44146-1150
Country : US
Telephone Number : 888-454-4896
Fax Number : 888-454-4896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2010
Last Update Date : 05/29/2025

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Directions to “ MISS ROCHELLE ENIS ST.CLAIR RPT(AMT)” Practice Location

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