Individual
ANGELA D GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
11920 KINGSVILLE DR, FRISCO, TX 75035-2308
(832) 860-8648
Mailing address
11920 KINGSVILLE DR, FRISCO, TX 75035-2308
(832) 860-8648
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
691702
TX
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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