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Individual

ALICIA RENEE WALLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
900 CINEMA DR APT 4109, HUDSON OAKS, TX 76087-2186
(409) 658-1706
Mailing address
900 CINEMA DR APT 4109, HUDSON OAKS, TX 76087-2186
(409) 658-1706

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
224264
TX

Other

Enumeration date
02/17/2026
Last updated
02/17/2026
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