Individual
ANDRE JERMAINE TWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIEDHAIRLOSSSPE
Contact information
Practice address
943 S CEDAR RIDGE RD, DALLAS, TX 75137
(214) 753-6757
Mailing address
934 S CEDAR RIDGE DR, DUNCANVILLE, TX 75137-2208
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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