MARIAELENA ELEANORA TICE

FORT HOOD, TX
NPI1265475081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  449918)
Enumeration Date2006-06-13
Last Update Date2007-07-08
Business Address
MRS. MARIAELENA ELEANORA TICE RN, CPNP
C THOMAS MOORE HEALTH CLINIC 56TH AND 761ST BATTALION AVE BUILDING 2245
FORT HOOD, TX 76544-4752
Phone number: 254-553-2750
Mailing Address
MRS. MARIAELENA ELEANORA TICE RN, CPNP
4777 GUB CLUB ROAD
TEMPLE, TX 76501
Phone number: 254-553-2750
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