Individual
DIONDRA DESHAWN NARCISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 LAKE STREET, FORT WORTH, TX 76102
(817) 810-0660
Mailing address
1314 LAKE ST, FORT WORTH, TX 76102-4581
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
324151
TX
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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