Individual
TONYA MONICE KEITH EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DR
Contact information
Practice address
461 MEADOW PLACE DR APT 3210, WILLOW PARK, TX 76087-6753
(843) 731-0551
Mailing address
461 MEADOW PLACE DR APT 3210, WILLOW PARK, TX 76087-6753
(843) 731-0551
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
C4M9Z5D8
SC
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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