Individual
MS. BRENDA EVETTE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12545 FOXPAW TRL, FORT WORTH, TX 76244-4389
(817) 891-3311
Mailing address
12545 FOXPAW TRL, FORT WORTH, TX 76244-4389
(817) 891-3311
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/01/2021
Last updated
05/01/2022
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