Individual
MS. KALETHIA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, CPT, EDDA
Contact information
Practice address
1606 INDUSTRIAL CT, ARLINGTON, TX 76011-4726
(972) 861-2013
(214) 889-8499
Mailing address
1606 INDUSTRIAL CT, ARLINGTON, TX 76011-4726
(318) 331-2150
(214) 889-8499
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
—
—
164W00000X
Licensed Practical Nurse
Primary
30002221
LA
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
202K00000X
Phlebology Physician
Y4K7H8M8
LA
Other
Enumeration date
04/25/2022
Last updated
12/16/2024
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