Emanuel Heru Dejon
Technician in Dallas, TX. Individual provider (NPI-1).
NPI number1548819873
StatusActive
Last updated in NPPESSep 9, 2019
Details
- NPI
- 1548819873
- Entity type
- Individual (NPI-1)
- Name
- Emanuel Heru Dejon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2019
- Last updated
- Sep 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
2535 Lone Star DrDallas, TX 75212-6313
Phone 214-467-9787
Mailing address
5565 Preston Oaks Rd Apt 120Dallas, TX 75254-8450
Phone 214-571-8710
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