Individual
MRS. LINDA YVETTE STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CS
Contact information
Practice address
1300 DENAY LN, WYLIE, TX 75098-0256
(805) 722-7357
Mailing address
1300 DENAY LN, WYLIE, TX 75098-0256
(805) 722-7357
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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