Individual
SHEKIVA LUCILLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 KINGSLEY DRIVE, 19101, PEARLAND, TX 77581-5356
(281) 979-1584
Mailing address
2101 KINGSLEY DR APT 19101, PEARLAND, TX 77584-4132
(281) 979-1584
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1628811
TX
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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