Individual
LEESA NICOLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
2903 N FM 1417, SHERMAN, TX 75092-3424
(903) 868-1370
Mailing address
2903 N FM 1417, SHERMAN, TX 75092-3424
(903) 868-1370
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
97975
TX
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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