Individual
LIZZIE CHANSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N. HIGHWAY 360 # 1728, 1728, MANSFIELD, TX 76063
(469) 647-8958
Mailing address
1400 N. HIGHWAY 360 # 1728, 1728, MANSFIELD, TX 76063
(469) 647-8958
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341906
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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