Individual
GLORIA MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Mailing address
1003 CRESTVIEW ST, ROUND ROCK, TX 78681-5666
(512) 788-3935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
872700
TX
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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