Individual
MARIE BIFON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3049 HARRELL DR APT 221, GRAND PRAIRIE, TX 75052-7744
(817) 349-5373
Mailing address
3049 HARRELL DR APT 221, GRAND PRAIRIE, TX 75052-7744
(817) 349-5373
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342722
TX
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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