Individual
VANESSA FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3155 LISETTA ST, GRAND PRAIRIE, TX 75052-6022
(214) 563-1267
Mailing address
3155 LISETTA ST, GRAND PRAIRIE, TX 75052-6022
(214) 563-1267
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
112568
TX
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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