Individual
LEVINA K BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 PROFESSIONAL DR APT 707, WICHITA FALLS, TX 76302-5784
(817) 209-8249
Mailing address
5300 PROFESSIONAL DR APT 707, WICHITA FALLS, TX 76302-5784
(817) 209-8249
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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