Individual
MANUKU ANN JUSSAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 TIMBERGLEN RD APT 2511, DALLAS, TX 75287-3656
(817) 210-9881
Mailing address
3737 TIMBERGLEN RD APT 2511, DALLAS, TX 75287-3656
(817) 210-9881
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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