Provider Demographics
NPI:1114624012
Name:CHRISTOPHE, AUVRELL G (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:AUVRELL
Middle Name:G
Last Name:CHRISTOPHE
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20004 REINHART AVE
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-2337
Mailing Address - Country:US
Mailing Address - Phone:310-886-9370
Mailing Address - Fax:
Practice Address - Street 1:20004 REINHART AVE
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-2337
Practice Address - Country:US
Practice Address - Phone:310-886-9370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy