RICHARD SHANE TREIDER

LUBBOCK, TX
NPI1144712605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
RICHARD SHANE TREIDER
4511 49TH ST
LUBBOCK, TX 79414-3607
Phone number: 702-326-2988
Mailing Address
RICHARD SHANE TREIDER
4511 49TH ST
LUBBOCK, TX 79414-3607
Phone number: 702-326-2988
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