Individual
LYNNICIA TYSHAE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9149 LIBERTY CROSSING DR, FORT WORTH, TX 76131-3107
(972) 814-5519
Mailing address
10609 POTAWATOMI LN, FORT WORTH, TX 76179-2683
(972) 814-5519
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
10/05/2024
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