Individual
MA TERESITA TAGAYUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 LEMMON AVE, DALLAS, TX 75204-2314
(469) 531-0898
Mailing address
2801 LEMMON AVE, DALLAS, TX 75204-2314
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
708103
TX
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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