Individual
LARESHIA ANNETTE ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 MARTINIQUE DR, MANSFIELD, TX 76063-8547
(469) 558-5097
Mailing address
1717 MARTINIQUE DR, MANSFIELD, TX 76063-8547
(469) 558-5097
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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