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Jackqulaine Deann Spencer
Clinical Laboratory Director (Non-physician) in Sachse, Texas
NPI 1841996576

Jackqulaine Deann Spencer is a Clinical Laboratory Director (Non-physician) based in Plano, TX and is specialized in Clinical Laboratory Director, Non-physician. Jackqulaine Deann Spencer practices in Sachse, TX. The NPI Number for Jackqulaine Deann Spencer is 1841996576 and holds a License No. (Texas).

The current practice location address for Jackqulaine Deann Spencer is 4901 Maple Shade Ave, Sachse, TX and can be reached out via phone at 972-997-5718.

Location: 4901 Maple Shade Ave, Sachse, TX, 75074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841996576
Provider Name
Jackqulaine Deann Spencer
Credential
Provider Entity Type
Individual
Gender
Female
Address
4901 Maple Shade Ave, Sachse, TX, 75074
Phone Number
972-997-5718
Fax Number
Provider Enumeration Date
02/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4901 Maple Shade Ave
City
Sachse
State
Texas
Zip
75048-4682
Phone Number
972-997-5718
Fax Number
person
Provider Business Mailing Address Details
Address
4901 Maple Shade Ave
City
Sachse
State
Texas
Zip
75048-4682
Phone Number
972-997-5718
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
()
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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