Individual
EMANUEL HERU DEJON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Mailing address
5565 PRESTON OAKS RD APT 120, DALLAS, TX 75254-8450
(214) 571-8710
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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