Individual
FREDICA KIAWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PARKWOOD TRAIL, MESQUITE, TX 75149
(214) 753-9396
(972) 222-9039
Mailing address
1400 PARKWOOD TRAIL, MESQUITE, TX 75149
(214) 753-9396
(972) 222-9039
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
139977
TX
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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