Provider Demographics
NPI:1689363707
Name:HODGE-SEWELL, LABRE (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:LABRE
Middle Name:
Last Name:HODGE-SEWELL
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 1:44 PERSHING LN
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1819
Mailing Address - Country:US
Mailing Address - Phone:856-503-8454
Mailing Address - Fax:
Practice Address - Street 1:44 PERSHING LN
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1819
Practice Address - Country:US
Practice Address - Phone:856-503-8454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QH0000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyHematology