Jackqulaine Deann Spencer

NPI #1841996576 in Sachse, Texas

Provider Information

NPI Number: 1841996576
Entity Type: Individual
Name: Jackqulaine Deann Spencer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Pathology - Clinical Laboratory Director, Non-physician
Enumeration Date: Feb 3, 2023
Last Updated: Feb 3, 2023

Practice Location

Address: 4901 MAPLE SHADE AVE
City: Sachse
State: Texas
ZIP Code: 75048-4682
Phone: (972) 997-5718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician	247ZC0005X	Primary

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