Individual
MRS. SHALISA LASHUNDRA HIBBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGNP-C
Contact information
Practice address
12 LEONA HTS, UVALDE, TX 78801-4715
(662) 588-3460
Mailing address
12 LEONA HTS, UVALDE, TX 78801-4715
(662) 588-3460
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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