Individual
ALICIA MICHELE BEATRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 10TH ST, WICHITA FALLS, TX 76301-5010
(940) 397-3100
Mailing address
1709 10TH ST, WICHITA FALLS, TX 76301-5010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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