Individual
LUCILLE RALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1241 E ANN ARBOR AVE, DALLAS, TX 75216-6262
(972) 904-3107
Mailing address
1241 E ANN ARBOR AVE, DALLAS, TX 75216-6262
(972) 904-3107
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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