Individual
ALICE AFFUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13601 PRESTON RD STE 210W, DALLAS, TX 75240-4986
(972) 702-0300
Mailing address
2337 W BUCKINGHAM RD APT 1079, GARLAND, TX 75042-4961
(214) 991-4996
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
325780
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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