BLAKE NEAL LACKEY

DALLAS, TX
NPI1689323289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-21
Last Update Date2022-03-22
Business Address
BLAKE NEAL LACKEY
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-648-3111
Mailing Address
BLAKE NEAL LACKEY
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: