FASICA WONDIFRAW

ALLEN, TX
NPI1245798214
Former NameFASICA ADMASU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP139847)
Enumeration Date2019-03-07
Last Update Date2020-02-21
Business Address
FASICA WONDIFRAW
1218 W MCDERMOTT DR
ALLEN, TX 75013-6304
Phone number: 972-390-9000
Mailing Address
FASICA WONDIFRAW
1218 W MCDERMOTT DR
ALLEN, TX 75013-6304
Phone number: 972-390-9000
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