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Individual

MIQUESHA DENICE RELIFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT

Contact information

Practice address
259 FLEMING ST, SOMERVILLE, TX 77879-4916
(832) 776-8006
Mailing address
PO BOX 844, SOMERVILLE, TX 77879-0844
(832) 776-8006

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
E5W5X9H9
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E5W5X9H9
CERTIFICATION
TX
Enumeration date
05/02/2022
Last updated
05/04/2022
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