Most Relevant Information
Provider Data
| NPI Number: | 1003569641 |
| Provider Name: | ANTRAMESE CARRY LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 291U00000X |
| Specialty: | Clinical Medical Laboratory |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/02/2022 |
| Last Updated: | 02/02/2022 |
Provider Practice Location
4670 CORLEY ST
BEAUMONT
TX
777074221
Practice Location Phone/Fax
| Phone: | 4094552762 |
| Fax: |
Provider Mailing Location
4670 CORLEY ST
BEAUMONT
TX
777074221
Provider Mailing Phone/Fax
| Phone: | 4094552762 |
| Fax: |