NPI 1659686467

Latresa Dewberry

Practitioner Contractor Mesquite, TX

Practice location

Address: 705 Via Bravo, Mesquite, TX 75150-3017
Phone: (469) 879-3396
Fax: (214) 613-2592

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1659686467
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2010
Record last updated: 17 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.