Shanita Robertson

NPI #1194419515 in Haltom City, Texas

Provider Information

NPI Number: 1194419515
Entity Type: Individual
Name: Shanita Robertson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Jun 7, 2023
Last Updated: Jul 12, 2023

Practice Location

Address: 5101 SPRINGLAKE PKWY APT 1027
City: Haltom City
State: Texas
ZIP Code: 76117-1347
Phone: (817) 470-1625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Private Vehicle	347C00000X	Primary

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