Individual
MALLORY LAUREN ALSOBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11370 DERBY DR, FLINT, TX 75762-6310
(903) 253-7147
Mailing address
11370 DERBY DR, FLINT, TX 75762-6310
(903) 253-7147
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
303278
TX
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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