Individual
KRISTINA VAILOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S STATE HIGHWAY 342 STE B, RED OAK, TX 75154-6517
(866) 891-8474
Mailing address
301 S STATE HIGHWAY 342 STE B, RED OAK, TX 75154-6517
(866) 891-8474
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
175L00000X
Homeopath
—
—
224P00000X
Prosthetist
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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