Individual
CHERYL LYN PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 N MAIN ST, THORNDALE, TX 76577-8733
(512) 269-7904
Mailing address
13915 BURNET RD, AUSTIN, TX 78728-6517
(512) 996-9559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
760473
TX
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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