Individual
ALICIA CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27522 KINGSLAND PLACE LN, FULSHEAR, TX 77441-1576
(773) 530-6618
Mailing address
27522 KINGSLAND PLACE LN, FULSHEAR, TX 77441-1576
(773) 530-6618
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
359372
TX
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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