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Mckennizie Boodram, LAT
NPI 1033586003 · on the registry since 2015
Practice
- Address
- 1525 Mountain Laurel Ln
Desoto, TX 75115 - Phone
- (469) 260-8872
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas