Individual
MRS. FRANCES ENEDINA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5121 CRESTWAY RD STE 200B, WINDCREST, TX 78239-1975
(210) 310-3864
Mailing address
5121 CRESTWAY RD STE 200B, WINDCREST, TX 78239-1975
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344443
TX
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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