MS. Shana Lee Tackett

NPI #1902137516 in Parker, Arizona

Provider Information

NPI Number
1902137516
Entity Type
Individual
Name
MS. Shana Lee Tackett
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jan 21, 2010
Last Updated
Jan 21, 2010

Practice Location

Address
12330 AGENCY RD
Address 2
PARKER INDIAN HEALTH CENTER
City
Parker
State
Arizona
ZIP Code
85344
Phone
(928) 669-3130

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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