Individual
SHANTEL KEISHA JIGGETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 GASTON AVE STE 1158, DALLAS, TX 75246-1853
(469) 800-9290
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
T5931
TX
Other
Enumeration date
03/28/2016
Last updated
09/28/2022
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