Latresa Dewberry

NPI #1659686467 in Mesquite, Texas

Provider Information

NPI Number
1659686467
Entity Type
Individual
Name
Latresa Dewberry
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
Aug 17, 2010
Last Updated
Aug 17, 2010

Practice Location

Address
705 VIA BRAVO
State
Texas
ZIP Code
75150-3017
Phone
(469) 879-3396

Specialties & Taxonomy Codes

Specialty
Contractor

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