Individual
MAE MAGDALEN CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RN,CCRN,CCNS,ACNS
Contact information
Practice address
621 N HALL ST, SUITE 120, DALLAS, TX 75226-1339
(214) 820-1740
(214) 820-1638
Mailing address
6800 AMETHYST LN, PLANO, TX 75023-1936
(972) 517-6145
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
552502
TX
Other
Enumeration date
03/13/2007
Last updated
07/28/2009
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