Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jul 8, 2019
License(s)
AP142111 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1011 N COOPER ST | Arlington, TX 76011-5517 | 832-215-0223 |
| MAILING | 213 TIMBERLINE DR | Midlothian, TX 76065-5611 | 832-215-0223 |
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