NPI 1902407158

Heidi Katherine Iratcabal

Practitioner Religious Nonmedical Practitioner Dallas, TX

Practice location

Address: 6484 Lontos Dr, Dallas, TX 75214-6317
Phone: (214) 356-4157

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X Licence L511-2848 (TX)

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Registry record

NPI: 1902407158
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2020
Record last updated: 4 Nov 2020

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.