Individual
ADA MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 BAR HARBOR DR, DALLAS, TX 75232
(214) 375-5254
Mailing address
1320 BAR HARBOR DR, DALLAS, TX 75232
(214) 375-5254
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
116366
TX
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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