Individual
TIMYRA RASHAUNDA STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1329 WINDING BROOK DR, DESOTO, TX 75115-2958
(972) 230-5330
Mailing address
1329 WINDING BROOK DR, DESOTO, TX 75115-2958
(972) 230-5330
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
715521
TX
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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