Individual
LILLY ITUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1524 AUDREY DR, ROYSE CITY, TX 75189-3561
(214) 929-6656
Mailing address
1524 AUDREY DR, ROYSE CITY, TX 75189-3561
(214) 929-6656
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
251G00000X
TX
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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