Individual
ANNA MELISSA LOUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 MARTHA ST, GRAND PRAIRIE, TX 75050-4344
(214) 235-0326
Mailing address
2322 SHERIFF DR, GRAND PRAIRIE, TX 75051-4211
(214) 235-0326
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
11238377
TX
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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