LAVICA LANE

GRAND PRAIRIE, TX
NPI1811433774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: TX  99284)
Enumeration Date2017-01-16
Last Update Date2017-01-16
Business Address
-- LAVICA LANE LM, CPM
814 DALWORTH ST
GRAND PRAIRIE, TX 75050-5545
Phone number: 972-263-0299
Mailing Address
-- LAVICA LANE LM, CPM
814 DALWORTH ST
GRAND PRAIRIE, TX 75050-5545
Phone number: 972-263-0299
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