Stukes, Dedra Shatia

Stukes, Dedra Shatia is an sole proprietor health care provider with primary practice located at 100 N Henderson Ave Apt 201 , Dallas TX 75214. She recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as her primary health care specialty. Stukes, Dedra Shatia can be contacted via phone (833) 336-6002.

Contact Information

Primary practice address
100 N Henderson Ave Apt 201 Dallas TX 75214
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1689448151
LBN Legal business name Stukes, Dedra Shatia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2023
Last updated Nov 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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