Individual
SUBAIR CHRISTMAS SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 TAMANDA LN, FREEPORT, TX 77541-9338
(979) 709-2918
Mailing address
139 TAMANDA LN, FREEPORT, TX 77541-9338
(979) 709-2918
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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