Individual
KRYSTA LIANE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 UNDERWOOD RD, ALEDO, TX 76008-2458
(682) 412-5455
Mailing address
1121 UNDERWOOD RD, ALEDO, TX 76008-2458
(682) 412-5455
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
353241
TX
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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