Individual
AMINA KHALIFA ABDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1600 RICE RD, TYLER, TX 75703-3310
(903) 952-6338
Mailing address
PO BOX 7736, TYLER, TX 75711-7736
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347257
TX
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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