Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jan 10, 2018
License(s)
AP134990 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1801 S 5TH ST STE 215 | Mcallen, TX 78503-2932 | 956-630-7788 |
| MAILING | PO BOX 3046 | Malvern, PA 19355-0746 | 956-631-0393 |
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