Individual
DR. DESALEGN HAILU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 TWIN CITY HWY, PORT ARTHUR, TX 77642
(409) 960-6122
Mailing address
3 GLENFIELD CT, HOUSTON, TX 77074-7834
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57812
TX
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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