Doctor Name: | MRS. SHARON HOPE GREACEN |
NPI Number: | 1194747279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT(ASCP) |
License Number: | |
Business Practice Address: | 12000 Stone Lake Drive Laboratory Dulce, NM - 875280187 |
Business Phone Number: | 5057597218 |
Business Fax Number: | |
Mailing Address: | Po Box 997, DULCE |
State: | NM |
Postal Code: | 875280997 |
Phone Number: | 9707494633 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246QL0900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Pathology |
Taxonomy Specialization: | Laboratory Management |
Taxonomy Definition: |