Individual
DEANA MINCHILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3928 CHURCHILL DR, FLOWER MOUND, TX 75028-1522
(469) 867-6950
Mailing address
3928 CHURCHILL DR, FLOWER MOUND, TX 75028-1522
(469) 867-6950
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
302624
TX
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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