Individual
DEMETRI WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 GALATYN PKWY APT 3077, RICHARDSON, TX 75082-4443
(903) 360-8753
Mailing address
1050 GALATYN PKWY APT 3077, RICHARDSON, TX 75082-4443
(903) 360-8753
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
223687
TX
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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