Individual
MRS. MARY FAYE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 E CHERRY ST, DUNCANVILLE, TX 75116-4015
(817) 507-9315
(214) 666-8482
Mailing address
722 E CHERRY ST, DUNCANVILLE, TX 75116-4015
(817) 507-9315
(214) 666-8482
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
201000215992
TX
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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