Individual
MS. KRISTLYN MACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4734 KILDARE AVE, DALLAS, TX 75216-8320
(972) 955-2118
Mailing address
PO BOX 165842, IRVING, TX 75016-5842
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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