Individual
LISSETTE APANWUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5229 VILLA MAR DR APT 1810, ARLINGTON, TX 76017-7532
(469) 901-2145
Mailing address
5229 VILLA MAR DR APT 1810, ARLINGTON, TX 76017-7532
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
300386
TX
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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