Individual
SHALONDA MICHELLE CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
18623 ANDERWOOD FOREST DR, RICHMOND, TX 77407-2305
(281) 561-5912
Mailing address
18623 ANDERWOOD FOREST DR, RICHMOND, TX 77407-2305
(281) 561-5912
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00562
TX
363AS0400X
Surgical Physician Assistant
Primary
—
TX
Other
Enumeration date
02/16/2012
Last updated
07/21/2019
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