Individual
MS. QUEENIE TEJONES ARADANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 TREES DR, CEDAR HILL, TX 75104-5025
(469) 684-0331
Mailing address
301 TREES DR, CEDAR HILL, TX 75104-5025
(469) 684-0331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2138109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104249317
—
TX
Enumeration date
08/24/2018
Last updated
08/24/2018
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