Individual
SENTAYHU WENDEMU DESALEGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4306 CLEMSON DR, GARLAND, TX 75042-5243
(469) 982-0140
Mailing address
4306 CLEMSON DR, GARLAND, TX 75042-5243
(469) 982-0140
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
37183171
TX
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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