Individual
ISATU FUNNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7811 CALGARY LN, ARLINGTON, TX 76001-7351
(817) 939-3936
Mailing address
7811 CALGARY LN, ARLINGTON, TX 76001-7351
(817) 939-3936
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
308606
TX
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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