Individual
LAKEITHIA HARDEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5001 PAR DR APT 3621, DENTON, TX 76208-6786
(817) 403-9448
Mailing address
5001 PAR DR APT 3621, DENTON, TX 76208-6786
(817) 403-9448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
960458
TX
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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