Individual
JENNIFER DEFREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
6728 VERDE, APT 238, IRVING, TX 75039-3416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
888512
TX
163W00000X
Registered Nurse
RN60021894
WA
163W00000X
Registered Nurse
RN648262
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
110970
TX
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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