Individual
SUZE FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 HOLLYHOCK DR, TEMPLE, TX 76502-4937
(845) 764-2129
Mailing address
815 HOLLYHOCK DR, TEMPLE, TX 76502-4937
(845) 764-2129
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
TX
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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