National Provider Identifier
Jaquita Small
Jaquita Small is listed in the NPPES registry with a primary specialty of Phlebotomy Technician in Buffalo, NY and a listed phone number of (716) 259-6954.
Profile Overview
- NPI
- 1245910900
- Provider Type
- Individual
- Primary Specialty
- Phlebotomy Technician
- Enumeration Date
- July 18, 2023
- Last Updated
- November 05, 2024
Practice Location
- 505 Ellicott St Ste 305
- Buffalo, NY 14203-1547
Phone: (716) 259-6954
Specialties
- Phlebotomy Technician (246RP1900X)
Full Record
- NPI
- 1245910900
- Entity Type
- Individual
- Last Name
- Small
- First Name
- Jaquita
- Mailing Street Address
- 505 Ellicott St Ste 305
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1547
- Mailing Country
- US
- Mailing Phone
- (716) 259-6954
- Practice Street Address
- 505 Ellicott St Ste 305
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1547
- Practice Country
- US
- Practice Phone
- (716) 259-6954
- Enumeration Date
- July 18, 2023
- Last Updated
- November 05, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Phlebotomy Technician (246RP1900X)