Individual
KAMILAH HAIATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 SERENADE LN, EULESS, TX 76039-6806
(817) 355-9242
Mailing address
502 SERENADE LN, EULESS, TX 76039-6806
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
08713450
TX
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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