Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Aug 30, 2018
License(s)
967653 (TX), 343492 (TX), 1176637 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2117 SCHWALD RD | Killeen, TX 76543-5992 | 254-669-1606 |
| MAILING | 2117 SCHWALD RD | Killeen, TX 76543-5992 | 254-669-1606 |
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