Individual
KEYLESHA SUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCS, RVS
Contact information
Practice address
1705 COIT RD APT 1017, PLANO, TX 75075-6146
(469) 968-2684
Mailing address
3000 CUSTER RD STE 270-464, PLANO, TX 75075-4422
(469) 968-2684
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
00080850
NC
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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