Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Phlebotomy |
246RP1900X |
| NPI Number | 1629829718 |
| LBN Legal business name | GODDESS BLISS LLC |
| Authorized official | DARIUS SIMS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/28/2024 |
| Last updated | 03/28/2024 - About 2 years ago |
| Identifiers | n/a |
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