Individual
SHIANE NICOLE ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
3404 88TH ST, LUBBOCK, TX 79423-2706
(806) 281-7725
Mailing address
3404 88TH ST, LUBBOCK, TX 79423-2706
(806) 281-7725
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99528
TX
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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