Individual
JENNIFER MICHELLE LALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 1ST AVE APT 4, CANYON, TX 79015-3022
(918) 658-4965
Mailing address
2101 1ST AVE APT 4, CANYON, TX 79015-3022
(918) 658-4965
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
212071
TX
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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