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Individual

QUANTACIA MINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHLEBOTOMIST

Contact information

Practice address
613 BRIDGEWOOD CIR APT 524, FORT WORTH, TX 76112-1729
(817) 507-3102
(817) 507-3102
Mailing address
613 BRIDGEWOOD CIR APT 524, FORT WORTH, TX 76112-1729
(817) 507-3102
(817) 507-3102

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
45D2157852
TX

Other

Enumeration date
01/11/2019
Last updated
01/11/2019
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