Individual
BRIDGETT GARLETTE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 TIMBERBEND TRL, ALLEN, TX 75002-2905
(214) 828-7604
Mailing address
1306 TIMBERBEND TRL, ALLEN, TX 75002-2905
(214) 828-7604
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352900
TX
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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