Wardell Dean III, RPSGT

NPI #1710366109 in Fresno, Texas

Provider Information

NPI Number
1710366109
Entity Type
Individual
Name
Wardell Dean III, RPSGT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician, Other
Credential
RPSGT
Enumeration Date
May 19, 2015
Last Updated
May 19, 2015

Practice Location

Address
4031 E TEAL ESTATES CIR
City
Fresno
State
Texas
ZIP Code
77545-8852
Phone
(713) 498-6523

Specialties & Taxonomy Codes

Specialty
Technician, Other

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