Individual
ANTWOINETTE DEGRATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5807 MAPLE LN, ROWLETT, TX 75089-3328
(229) 445-2969
Mailing address
5807 MAPLE LN, ROWLETT, TX 75089-3328
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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