Individual
DORI GENELLE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 STATE HIGHWAY 121 APT 2132, LEWISVILLE, TX 75056-4321
(817) 909-8818
Mailing address
5500 STATE HIGHWAY 121 APT 2132, LEWISVILLE, TX 75056-4321
(817) 909-8818
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
304724
TX
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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