Tydesheaia Ladejenee Pool

NPI #1023664778 in Wylie, Texas

Provider Information

NPI Number: 1023664778
Entity Type: Individual
Name: Tydesheaia Ladejenee Pool
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Aug 16, 2019
Last Updated: Nov 7, 2019

Practice Location

Address: 1300 CEDAR BRANCH DR
City: Wylie
State: Texas
ZIP Code: 75098-6678
Phone: (601) 810-4101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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