Khandra Aries Ivy
NPI #1063199750 in Okolona, Mississippi
Provider Information
- NPI Number
- 1063199750
- Entity Type
- Individual
- Name
- Khandra Aries Ivy
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Pathology - Phlebotomy
- Enumeration Date
- Jul 3, 2023
- Last Updated
- Jul 3, 2023
Practice Location
- Address
- 127 DRIVE 156
- City
- Okolona
- State
- Mississippi
- ZIP Code
- 38860-9677
- Phone
- (662) 760-3031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Pathology - Phlebotomy — Phlebotomy |
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