Individual
VICTORIA LYNN WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 WORTH ST, DALLAS, TX 75246-2003
(901) 786-2865
Mailing address
1130 BEAR CREEK PKWY APT 2406, EULESS, TX 76039-5222
(901) 786-2865
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1062353
TX
Other
Enumeration date
12/26/2021
Last updated
12/26/2021
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