Individual
OCTAVIA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9441 LBJ FWY, #104, DALLAS, TX 75243-4545
(866) 575-9820
Mailing address
9441 LBJ FWY, #104, DALLAS, TX 75243-4545
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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