Individual
MRS. ALISSHA DUENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 ATKINSON AVE, COPPERAS COVE, TX 76522-4610
(254) 338-9641
Mailing address
616 ATKINSON AVE, COPPERAS COVE, TX 76522-4610
(254) 338-9641
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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