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Lareshia Annette Alfred

Home Health Aide in Mansfield, TX. Individual provider (NPI-1).

NPI number1346861259
StatusActive
Last updated in NPPESMay 1, 2020

Details

NPI
1346861259
Entity type
Individual (NPI-1)
Name
Lareshia Annette Alfred
Sex
Female
Sole proprietor
Yes
Enumeration date
May 1, 2020
Certification date
May 1, 2020
Last updated
May 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

1717 Martinique Dr
Mansfield, TX 76063-8547

Phone 469-558-5097

Mailing address

1717 Martinique Dr
Mansfield, TX 76063-8547

Phone 469-558-5097

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