Ralph, Idesta

Ralph, Idesta is an sole proprietor health care provider with primary practice located at 4827 Old National Hwy Unit 2032 , College Park GA 30337-6234. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Ralph, Idesta can be contacted via phone (239) 895-7910.

Contact Information

Primary practice address
4827 Old National Hwy Unit 2032 College Park GA 30337-6234
Phone: (239) 895-7910
Fax: (866) 984-3729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 0326943231 New York

Profile Details

NPI number 1205235371
LBN Legal business name Ralph, Idesta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2014
Last updated Jul 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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