Individual
ALISSA MARIA MOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
438 W ILLINOIS AVE, DALLAS, TX 75224-2204
(214) 941-1197
Mailing address
4004 N STORY RD APT 612, IRVING, TX 75038-5998
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69546
TX
Other
Enumeration date
10/04/2021
Last updated
08/24/2022
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