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Individual

MRS. SHAMBRESE NESHA LUCKEY-THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT RPT

Contact information

Practice address
4180 DOYLE LN, LANCASTER, TX 75134-1726
(214) 486-9045
Mailing address
4180 DOYLE LN, LANCASTER, TX 75134-1726
(214) 486-9045

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
139010
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139010
TSBP
TX
Enumeration date
06/23/2011
Last updated
06/23/2011
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