JENNIFER WALLACE

Phlebotomy Technician · EVERETT, WA

Individual Active NPI 1356968440

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Phlebotomy Technician246RP1900X
Home Health Agency251E00000X
Clinical Medical Laboratory291U00000X1568068609AZ
Phlebotomy Technician246RP1900XPC61547365WA
Clinic/Center261Q00000X
Home Health Aide374U00000XEXPERIENCEDAZ
Health Service Clinic/Center261QH0100X
Home Health Aide374U00000XAZ
Other Technician247200000X032016AZ
Clinical Medical Laboratory291U00000X03D2197602AZ
Nursing Care Agency251J00000X03D2197602AZ
Driver172A00000XWDL722Z7B13BWA
Technician/Technologist156F00000X

Medicare eligibility

Part B
No
DME
Yes
Home health
No
Power mobility
No
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.