Individual
PAULETTE BOHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1901 MILLER RD, ROWLETT, TX 75088-5604
(214) 227-2457
(214) 764-0880
Mailing address
1901 MILLER RD, ROWLETT, TX 75088-5604
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
13333
FL
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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