Individual
KELLI LEA MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 CASTLEBERRY ST, BROWNSBORO, TX 75756-6218
(903) 515-0337
(903) 515-0337
Mailing address
11240 CASTLEBERRY ST, BROWNSBORO, TX 75756-6218
(903) 515-0337
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
229731
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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