Individual
MS. STACEY MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
4711 45TH ST, LUBBOCK, TX 79414-3309
(806) 239-8642
Mailing address
4711 45TH ST, LUBBOCK, TX 79414-3309
(806) 239-8642
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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