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Individual

MS. ALDIS MICHELLE PETITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7300 NATALIE DR, FORT WORTH, TX 76134-4624
(817) 568-2863
Mailing address
7300 NATALIE DR, FORT WORTH, TX 76134-4624
(817) 568-2863

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
119774
TX

Other

Enumeration date
07/30/2007
Last updated
07/30/2007
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