Individual
DEJHIA ALEXANDREA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1423 SNOWDROP DR, PROSPER, TX 75078-9777
(469) 789-4748
Mailing address
1423 SNOWDROP DR, PROSPER, TX 75078-9777
(469) 789-4748
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000054211
TX
Other
Enumeration date
07/07/2023
Last updated
07/11/2023
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