Individual
REMONICA LASHA WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10842 PROVIDENCE DR, FRISCO, TX 75035-9054
(945) 276-1378
Mailing address
10842 PROVIDENCE DR, FRISCO, TX 75035-9054
(945) 276-1378
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
023285
TX
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/26/2024
Last updated
01/14/2026
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