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Individual

MRS. TAWANDA A BROYARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT,CPI,CNA

Contact information

Practice address
1118 LADY LN, DUNCANVILLE, TX 75116-2016
(469) 245-1648
Mailing address
1118 LADY LN, DUNCANVILLE, TX 75116-2016
(469) 245-1648

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
21-5944
TX

Other

Enumeration date
01/28/2022
Last updated
01/28/2022
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