Individual
AUDREGAIL MARANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5914 CYPRESS DR, ROWLETT, TX 75089-3373
(214) 796-0259
Mailing address
5914 CYPRESS DR, ROWLETT, TX 75089-3373
(214) 796-0259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
956494
TX
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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