Individual
MRS. SHAQUONZA HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BLUEGRASS VW APT SUITE, FAIRBURN, GA 30213-4736
(678) 876-7906
Mailing address
154 RAINBOW WAY # 299, FAYETTEVILLE, GA 30214-3994
(888) 462-6602
(770) 202-7167
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
451241677187112
GA
Other
Enumeration date
10/21/2024
Last updated
10/28/2024
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