Individual
JACKQULAINE DEANN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 MAPLE SHADE AVE, SACHSE, TX 75048-4682
(972) 997-5718
Mailing address
2100 14TH ST, STE 107 #2047, PLANO, TX 75074
(972) 997-5718
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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