Individual
SHAUNTRICE NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3808 CAMINO REAL TRL, DENTON, TX 76208-5977
(469) 230-8864
Mailing address
3808 CAMINO REAL TRL, DENTON, TX 76208-5977
(469) 230-8864
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
0243
AR
246RP1900X
Phlebotomy Technician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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