Individual
CHARLETTE LAREE JALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 DAYTON ST, TYLER, TX 75702-4810
(903) 714-9288
Mailing address
307 DAYTON ST, TYLER, TX 75702-4810
(903) 714-9288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
729864
TX
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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