Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MONDRAKUS HARPER
Active Sole ProprietorMONDRAKUS HARPER is a Phlebotomy Technician healthcare provider located in BLACK JACK, Missouri. NPI 1194426767 is currently active in the NPPES registry. Verify at CMS.
Phlebotomy Technician · BLACK JACK, MO
Registration Details
- NPI Number
- 1194426767
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2023 (3.4405902337958 yrs)
- Last Updated
- Mar 13, 2023
- Licenses
-
B6P44F8Q3 (KY)134849 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12565 EVENING SHADE DRBLACK JACK, MO, 630338513Browse MO providers · Browse ZIP 63033
- Phone
- 3145831477
- Fax
- 3142163926
- Primary Specialty
-
Phlebotomy Technician
246RP1900X
- Additional Specialty
- Nurse's Aide
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.