Kecia Bass

NPI #1417507559 in Prosper, Texas

Provider Information

NPI Number
1417507559
Entity Type
Individual
Name
Kecia Bass
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Homemaker
Enumeration Date
Sep 19, 2019
Last Updated
Sep 19, 2019

Practice Location

Address
561 HIDDEN LAKE DR
State
Texas
ZIP Code
75078-8782
Phone
(469) 767-2318

Specialties & Taxonomy Codes

Specialty
Homemaker

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