Individual
MISS BRIDGET MALAMA CHIBALE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2064 BARX DR, LITTLE ELM, TX 75068-1689
(940) 368-8966
Mailing address
2064 BARX DR, LITTLE ELM, TX 75068-1689
(940) 368-8966
(940) 368-8966
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
216067
TX
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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