Leris Idehen

NPI #1699492603 in Forney, Texas

Provider Information

NPI Number
1699492603
Entity Type
Individual
Name
Leris Idehen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Occupational Medicine
Enumeration Date
Oct 21, 2022
Last Updated
Oct 21, 2022

Practice Location

Address
4302 CAT TAIL WAY
City
Forney
State
Texas
ZIP Code
75126-2559
Phone
(214) 283-6759

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Occupational MedicineOccupational Medicine

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