Dedra Shatia Stukes
Dedra Shatia Stukes is a Clinical Medical Laboratory in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
100 N Henderson Ave Apt 201Dallas, TX 75214
Phone: (833) 336-6002
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Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1689448151 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 14, 2023 |
| Last updated in NPPES | November 14, 2023 |
| Certification date | November 11, 2023 |
| Mailing address | 539 W Commerce St # 4922, Dallas, TX 75208-1953 |
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