Individual
CAROLINE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(316) 522-0608
Mailing address
113 BONITA AVE, GALVESTON, TX 77550-3105
(817) 521-2827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
950973
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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