Individual
BROOKLYNN MICHELLE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 N COLLEGE AVE, TYLER, TX 75702-4567
(903) 363-2167
Mailing address
817 N COLLEGE AVE, TYLER, TX 75702-4567
(903) 363-2167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
990374
TX
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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