Individual
GABRIELLE BEVERLY MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
304 RANDY DR, WOODWAY, TX 76712-9783
(254) 248-2109
Mailing address
304 RANDY DR, WOODWAY, TX 76712-9783
(254) 248-2109
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1007796
TX
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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