Individual
KYLIE SUE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1255 W 15TH ST STE 1025, PLANO, TX 75075-7253
(972) 673-0404
Mailing address
1880 HARVEST LN, JOSEPHINE, TX 75173-7045
(702) 332-8709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
840399
TX
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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