Organization
BETTY A JETAWO
Active
Other names
Golden Hawk Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY JETAWO (ADMINISTRATOR)
(214) 641-8494
Entity
Organization
Contact information
Practice address
4402 BROADWAY BLVD, SUITE 2, GARLAND, TX 75043-8263
(214) 641-8494
Mailing address
PO BOX 494462, GARLAND, TX 75049-4462
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
06/22/2011
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