Susan Shackelford

NPI #1194225664 in Wichita Falls, Texas

Provider Information

NPI Number
1194225664
Entity Type
Individual
Name
Susan Shackelford
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Feb 20, 2018
Last Updated
Feb 20, 2018

Practice Location

Address
909 8TH ST STE 100
State
Texas
ZIP Code
76301-6818
Phone
(940) 761-9986

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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