Individual
TDENISE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 TURNING TREE RD, WILMER, TX 75172-1502
(469) 988-9343
Mailing address
200 TURNING TREE RD, WILMER, TX 75172-1502
(469) 988-9343
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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