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Individual

MS. ASHA JAMILIA ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5321 RITA KAY LN LOT #21, FORT WORTH, TX 76119
(817) 347-0551
Mailing address
5321 RITA KAY LN LOT #21, FORT WORTH, TX 76119
(817) 347-0551

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
09/24/2019
Last updated
09/24/2019
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