Individual
SHELLIE JEAN PEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
3700 RUFE SNOW DR, FORT WORTH, TX 76180-8848
(817) 284-1152
(817) 284-1973
Mailing address
P. O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 284-1973
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
09/21/2009
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