Organization
COMPLIMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA STEWART ROA CHES (HEALTH EDUCATOR)
(469) 296-7757
Entity
Organization
Contact information
Practice address
8808 CALISTOGA SPRINGS WAY, PLANO, TX 75024-3776
(469) 296-7757
(972) 627-4229
Mailing address
8808 CALISTOGA SPRINGS WAY, PLANO, TX 75024-3776
(469) 296-7757
(972) 627-4227
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1060814
CDC NATIONAL DIABETES PREVENTION PROGRAM
—
Enumeration date
08/31/2020
Last updated
09/09/2020
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