Individual
MISS EVELINA L KISSENTANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E LAMAR BLVD STE 105, ARLINGTON, TX 76011-4465
(936) 221-1099
(682) 321-7112
Mailing address
1601 E LAMAR BLVD STE 105, ARLINGTON, TX 76011-4465
(817) 400-8839
(682) 321-7112
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Enumeration date
07/31/2017
Last updated
09/29/2021
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