Organization
CLINIC AND WELLNESS CENTERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LASHONDA TRAYLOR FNP-C (FAMILY NURSE PRACTITIONER)
(817) 209-7736
Entity
Organization
Contact information
Practice address
2771 E BROAD ST STE 217-109, MANSFIELD, TX 76063-9156
(817) 209-7736
Mailing address
2771 E BROAD ST STE 217-109, MANSFIELD, TX 76063-9156
(817) 209-7736
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F0814245
TX
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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