Individual
ALICIA REISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 CASTALO LN, LEANDER, TX 78641-4530
(512) 638-9149
(512) 857-4545
Mailing address
1436 CASTALO LN, LEANDER, TX 78641-4530
(512) 638-9149
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
206448
TX
Other
Enumeration date
10/17/2018
Last updated
04/15/2024
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