Individual
MRS. LORETTA ANDREWS KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3331 NAVAJO PL, DALLAS, TX 75224-3732
(214) 643-2646
Mailing address
3331 NAVAJO PL, DALLAS, TX 75224-3732
(214) 643-2646
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
TX
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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