Individual
JACQUELINE DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 SCOTLAND DR, 2009, DESOTO, TX 75115
(469) 245-9140
Mailing address
1020 SCOTLAND DR, 2009, DESOTO, TX 75115
(469) 245-9140
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316200
TX
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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