Individual
ALISON LEA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
208 PRAIRIE WIND, STEPHENVILLE, TX 76401
(956) 245-5568
Mailing address
208 PRAIRIE WIND, STEPHENVILLE, TX 76401
(956) 245-5568
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
111903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111903
LVN LICENSE
TX
Enumeration date
02/22/2018
Last updated
06/16/2018
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