Individual
JANET OMAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11804 BELLEGROVE RD, BURLESON, TX 76028-8254
(686) 682-2034
Mailing address
11804 BELLEGROVE RD, BURLESON, TX 76028-8254
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
302757
TX
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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