Individual
KEAUNTAE LASHEA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 N OCONNOR RD, SUITE 21, IRVING, TX 75061
(913) 738-2226
Mailing address
692 LAKE CAROLYN PKWY APT 243, IRVING, TX 75039-3946
(913) 602-2580
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
TX
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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