LERIS IDEHEN

FORNEY, TX
NPI1699492603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QX0100X Clinic/Center, Occupational Medicine
Enumeration Date2022-10-21
Last Update Date2022-10-21
Business Address
LERIS IDEHEN
4302 CAT TAIL WAY
FORNEY, TX 75126-2559
Phone number: 214-283-6759
Mailing Address
LERIS IDEHEN
4302 CAT TAIL WAY
FORNEY, TX 75126-2559
Phone number:
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