Individual
GRETEL WILSON MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 PULLMAN DR, SAGINAW, TX 76131-4928
(817) 528-3065
Mailing address
1008 PULLMAN DR, SAGINAW, TX 76131-4928
(817) 528-3065
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
212852
TX
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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