Betty a Jetawo

NPI #1053644112 in Garland, Texas

Provider Information

NPI Number
1053644112
Entity Type
Organization
Organization Name
Betty a Jetawo
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Sep 8, 2009
Last Updated
Jun 22, 2011

Practice Location

Address
4402 BROADWAY BLVD
Address 2
SUITE 2
State
Texas
ZIP Code
75043-8263
Phone
(214) 641-8494

Authorized Official

Name
BETTY JETAWO
Title
ADMINISTRATOR
Phone
(214) 641-8494

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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