Individual
MRS. BROOKE ALYSSA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 NE STALLINGS DR STE 113, NACOGDOCHES, TX 75965-1250
(936) 305-5155
Mailing address
4800 NE STALLINGS DR STE 113, NACOGDOCHES, TX 75965-1250
(936) 305-5155
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
75965
TX
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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