Individual
ENIOLA GRACE ST MATTHEW DANIEL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5918 SASAKI WAY, GARLAND, TX 75043-6666
(469) 450-6588
Mailing address
5918 SASAKI WAY, GARLAND, TX 75043-6666
(469) 450-6588
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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