Individual
LADY JANICE CUSTODIO DUTERTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12777 SPRING HILL DR, FRISCO, TX 75035-1644
(917) 655-3784
(972) 472-8881
Mailing address
12777 SPRING HILL DR, FRISCO, TX 75035-1644
(917) 655-3784
(972) 472-8881
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
783146
TX
163WC0400X
Case Management Registered Nurse
783146
TX
163WC1500X
Community Health Registered Nurse
783146
TX
163WC1600X
Continuing Education/Staff Development Registered Nurse
783146
TX
163WH0200X
Home Health Registered Nurse
783146
TX
163WI0500X
Infusion Therapy Registered Nurse
783146
TX
163WN1003X
Nutrition Support Registered Nurse
783146
TX
163WW0000X
Wound Care Registered Nurse
783146
TX
Other
Enumeration date
11/04/2025
Last updated
03/12/2026
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