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Individual

BETTY AILED CANIZARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6115 CAMP BOWIE BLVD STE 290, FORT WORTH, TX 76116-5500
(817) 831-1105
Mailing address
6901 PENHURST DR, FORT WORTH, TX 76133-6420

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1003916
TX

Other

Enumeration date
09/18/2020
Last updated
09/18/2020
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