Individual
LAKRISTIE RESHELLE GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9763 AUDELIA RD APT 1211, DALLAS, TX 75238-2004
(469) 478-1786
Mailing address
9763 AUDELIA RD APT 1211, DALLAS, TX 75238-2004
(469) 478-1786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
05/06/2023
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