Individual
ANDREA MUELLER TALLIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
220 BERRYESSA PASS, AUSTIN, TX 78732-1264
(585) 643-0005
Mailing address
220 BERRYESSA PASS, AUSTIN, TX 78732-1264
(585) 643-0005
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1128253
TX
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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