Betty A Jetawo

NPI 1053644112 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1053644112
Enumeration Date 09/08/2009
Last Updated 06/22/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BETTY BETTY
Position ADMINISTRATOR
Phone (214) 641-8494
Fax
Practice Location
4402 BROADWAY BLVD
SUITE 2
GARLAND TX, 75043-8263, US
Phone (214) 641-8494
Fax
Business Location
PO BOX 494462
GARLAND TX, 75049-4462, US
Phone
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
Remove 1053644112 NPI Number
 

According to our database, Betty A Jetawo NPI is 1053644112, taxonomy code is 332B00000X Betty A Jetawo physically located at 4402 Broadway Blvd, Garland TX, 75043-8263. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053644112 NPI number is provided on an as is basis without warranty of any kind. 1053644112 is maintained by the National Plan & Provider Enumeration System. The contents of Betty A Jetawo are for informational purposes only.