Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Nov 29, 2018
License(s)
AP139852 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1108 ANN DR | Wylie, TX 75098-6938 | 469-304-0276 |
| LOCATION | 1108 ANN DR WYLIE | Wylie, TX 75098 | 214-727-3575 |
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