Thereasa Space, PAASCP
Thereasa Space, PAASCP is a Pathology Specialist/Technologist in Munster, Indiana. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
901 Macarthur BlvdMunster, IN 46321-2901
Phone: (219) 703-1784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pathology Specialist/Technologist (primary) | Taxonomy 246Q00000X |
|---|
Record details
| NPI number | 1710604863 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PAASCP |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2022 |
| Last updated in NPPES | October 19, 2022 |
| Certification date | October 11, 2022 |
| Mailing address | 2417 Indiana Ave, Lansing, IL 60438 |