Individual
MR. JANVIER BUSOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15006 PREACHERS LN, FRISCO, TX 75035-2254
(469) 685-5124
Mailing address
15006 PREACHERS LN, FRISCO, TX 75035-2254
(469) 685-5124
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
58-2491253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58-2491253
FEDERAL TAX ID
—
Enumeration date
08/08/2015
Last updated
08/08/2015
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