Individual
SHUNTOYIA YSHAY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PBT
Contact information
Practice address
9149 BARBARO DR APT 7108, FORT WORTH, TX 76140-1889
(682) 760-1879
Mailing address
9149 BARBARO DR APT 7108, FORT WORTH, TX 76140-1889
(682) 760-1879
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
42787
TX
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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