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Individual

PEACE U EHIGITOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
262 E OATES RD, #102, GARLAND, TX 75043-3487
(214) 440-8508
(469) 298-0782
Mailing address
262 E OATES RD, #102, GARLAND, TX 75043-3487
(214) 440-8508
(469) 298-0782

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/15/2008
Last updated
07/15/2008
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