Individual
ADAEZE MARGARET JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1016 RIO VERDE DR, DESOTO, TX 75115-7191
(469) 684-4211
Mailing address
1016 RIO VERDE DR, DESOTO, TX 75115-7191
(469) 684-4211
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
222832
TX
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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