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Individual

TINA MONE PATTERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COSMETOLOGIST

Contact information

Practice address
8501 OLD HICKORY TRL APT 2106, DALLAS, TX 75237-3821
(254) 531-1057
Mailing address
823 SAN JUAN DR, DUNCANVILLE, TX 75116-3921
(254) 531-1057

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1792338
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1792338
TEXAS BOARD OF LICENSING AND REGULATION
TX
Enumeration date
12/31/2019
Last updated
12/31/2019
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