Individual
MAKDA HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5840 SPRING VALLEY RD APT 1005, DALLAS, TX 75254-3364
(469) 274-6257
Mailing address
5840 SPRING VALLEY RD APT 1005, DALLAS, TX 75254-3364
(692) 746-2574
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
309040
TX
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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