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Individual

DANIEL ELIAS ENRIQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4645 PLANO PKWY APT 6303, CARROLLTON, TX 75010-4954
(940) 453-7145
Mailing address
4645 PLANO PKWY APT 6303, CARROLLTON, TX 75010-4954
(940) 453-7145

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
802043093
TX

Other

Enumeration date
09/25/2014
Last updated
09/25/2014
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