Individual
MS. LAKIESHIA CORALL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
14309 SANDILAND, SAN ANTONIO, TX 78217-6409
(214) 609-4363
Mailing address
14309 SANDILAND, SAN ANTONIO, TX 78217-6409
(214) 609-4363
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
651006
TX
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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