LATRISALA BANKSTON

TOMBALL, TX
NPI1972097491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  137803)
Enumeration Date2018-06-18
Last Update Date2018-06-20
Business Address
LATRISALA BANKSTON NP
15535 DOWNFORD DR
TOMBALL, TX 77377
Phone number: 318-230-0993
Mailing Address
LATRISALA BANKSTON NP
15535 DOWNFORD DR
TOMBALL, TX 77377-8687
Phone number: 318-230-0993
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