DESIREE GLENN DEMANAWA

TEMPLE, TX
NPI1740973577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: TX  1017094)
Enumeration Date2023-05-29
Last Update Date2023-09-12
Business Address
DESIREE GLENN DEMANAWA FNP
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
Mailing Address
DESIREE GLENN DEMANAWA FNP
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 800-944-0371