Individual
CRISTY COLLIER-MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2000 SPECKLE DR, FORT WORTH, TX 76131-4104
(817) 965-9949
Mailing address
2000 SPECKLE DR, FORT WORTH, TX 76131-4104
(817) 965-9949
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
314152
TX
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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