Individual
LASHELL DESHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 8TH ST STE 100, WICHITA FALLS, TX 76301-6818
(940) 337-6129
Mailing address
909 8TH ST STE 100, WICHITA FALLS, TX 76301-6818
(940) 337-6129
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
637035
TX
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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