Individual
SHAUNDRELE EVETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 HIGHWAY 51 N LOT 335, NESBIT, MS 38651-8446
(662) 420-8814
Mailing address
1151 HIGHWAY 51 N LOT 335, NESBIT, MS 38651-8446
(662) 420-8814
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
10725
MS
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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