Individual
CHRISTELLE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4500 S LANCASTER RD # 549117, DALLAS, TX 75216-7167
(214) 857-4971
Mailing address
4500 S LANCASTER RD # 549117, DALLAS, TX 75216-7167
(214) 857-4971
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN069626
GA
374700000X
Technician
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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