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Individual provider · Home Health Registered Nurse · Plano, TX

NPI

1750106860

Type

Individual (Type 1)

Primary specialty

Home Health Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WH0200X

License number

256758 (SC)

Sex

Male

Sole proprietor

No

Enumerated

2024-11-22

Last updated

2024-11-22