Individual
DEALVIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 S CARRIER PKWY APT 2001, GRAND PRAIRIE, TX 75052-5623
(972) 639-0246
Mailing address
3001 S CARRIER PKWY APT 2001, GRAND PRAIRIE, TX 75052-5623
(972) 639-0246
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
149669
TX
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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