Chengetai Beverly Matengenzara
Chengetai Beverly Matengenzara is a Prosthetic/Orthotic Supplier in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
18950 Marsh Ln Apt 208Dallas, TX 75287-2157
Phone: (214) 659-1138
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1710447388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 20, 2019 |
| Last updated in NPPES | February 10, 2021 |
| Certification date | February 10, 2021 |
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