Individual
CHARMAINE RENA MILLER SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
9202 ELAM RD, #350, DALLAS, TX 75217
(214) 266-1719
(214) 266-1732
Mailing address
405 N BALFOUR, CEDAR HILL, TX 75104
(972) 291-9611
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
255137
TX
Other
Enumeration date
02/05/2007
Last updated
03/14/2008
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