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Organization
EMPOWERING LIGHT LLC
Active
Organization
EMPOWERING LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LALI STANLEY (PROGRAM MANAGER)
(469) 585-3723
Entity
Organization
Contact information
Practice address
349 REDSTONE DR, SUNNYVALE, TX 75182-3240
(469) 585-3723
Mailing address
5521 S HAMPTON RD # 765287, DALLAS, TX 75232-2253
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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