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Organization
HAVILAH MOBILE WOUND HEALING SERVICES LLC
Active
Organization
HAVILAH MOBILE WOUND HEALING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZIAKU JENNIFER OLIVER (ADMINISTRATOR)
(972) 922-4510
Entity
Organization
Contact information
Practice address
7308 FOREST BEND DR, PARKER, TX 75002-6817
(972) 922-4510
(972) 442-0113
Mailing address
7308 FOREST BEND DR, PARKER, TX 75002-6817
(972) 922-4510
(972) 442-0113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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