Individual
HAIJU HE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3509 CRIPPLE CREEK TRL, ROANOKE, TX 76262-5887
(240) 374-2518
Mailing address
3509 CRIPPLE CREEK TRL, ROANOKE, TX 76262-5887
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
337482
TX
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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