Individual
SHONNA MENCHACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA, CST
Contact information
Practice address
302 RAMBLING LN, EULESS, TX 76039-3818
(940) 733-3281
Mailing address
1253 STATE HIGHWAY 258 E, WICHITA FALLS, TX 76310-7021
(940) 733-3281
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
191471
TX
Other
Enumeration date
03/22/2023
Last updated
01/02/2024
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