Individual
MRS. LAKESIA SHUNTA' CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
RR #2 BOX 5425, 343 TRS/MAS, SAN ANTONIO, TX 78257
(210) 295-8337
Mailing address
RR 2 BOX 5425, 343 TRS/ MAS, SAN ANTONIO, TX 78257
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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