Individual
CHAVAWNA LEE TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23405 W FERNHURST DR APT 1607, KATY, TX 77494-0241
(346) 583-3033
Mailing address
23405 W FERNHURST DR APT 1607, KATY, TX 77494-0241
(346) 583-3033
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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