Individual
FUNMILOLA HAASTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 TAREN TRL, WYLIE, TX 75098-6656
(214) 571-8401
Mailing address
1318 TAREN TRL, WYLIE, TX 75098-6656
(214) 571-8401
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/23/2015
Last updated
01/26/2015
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