Individual
SHAMELYA MARIE ETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.A
Contact information
Practice address
13151 EMILY RD STE 109, DALLAS, TX 75240-8989
(469) 677-2411
Mailing address
934 MEADOWCOVE CIR, GARLAND, TX 75043-2725
(469) 778-8185
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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