Individual
NICOLE LYNN BURBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCT
Contact information
Practice address
4255 ROSEHILL RD, 3, GARLAND, TX 75043-2560
(214) 875-7957
Mailing address
4255 ROSEHILL RD, 3, GARLAND, TX 75043-2560
(214) 875-7957
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
TX
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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