Individual
ALTAGRACE EXUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 W 15TH ST STE 815, PLANO, TX 75075-4208
(972) 673-0404
Mailing address
1255 W 15TH ST STE 815, PLANO, TX 75075-4208
(972) 673-0404
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
220006
TX
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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