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Individual

MONICA ALFRED-IYAMU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4400 STATE HIGHWAY 121, LEWISVILLE, TX 75056-4561
(972) 264-4527
Mailing address
8600 HAWTHORNE ST, FRISCO, TX 75034-5632

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
216989
TX

Other

Enumeration date
01/10/2022
Last updated
01/10/2022
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