Individual
LA VERNE JEAN NYAIDHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
947 ANGIE LN, DESOTO, TX 75115-3869
(972) 639-4202
Mailing address
947 ANGIE LN, DESOTO, TX 75115-3869
(972) 639-4202
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/23/2010
Last updated
04/22/2025
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