Individual
MR. DEJENE NEGASH DENGITIE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 MAPLEWOOD DR, ROWLETT, TX 75089-2070
(214) 909-5506
Mailing address
7401 MAPLEWOOD DR, ROWLETT, TX 75089-2070
(214) 909-5506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
734946
TX
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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