MADONNA ACOSTA SISSON

FORT WORTH, TX
NPI1407150634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  713186)
Enumeration Date2011-01-03
Last Update Date2011-01-03
Business Address
-- MADONNA ACOSTA SISSON CRNA
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4054
Mailing Address
-- MADONNA ACOSTA SISSON CRNA
PO BOX 99371
FORT WORTH, TX 76199-0371
Phone number: 682-885-1855
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