Individual
DONNISHA BUNTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 BROADMOOR, 1115, FORT WORTH, TX 76116
(817) 204-8290
Mailing address
2901 BROADMOOR, 1115, FORT WORTH, TX 76116
(817) 204-8290
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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