Individual
KELSEY LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8409 LAUREN DR, COLLEGE STATION, TX 77845-5505
(970) 213-9045
Mailing address
8409 LAUREN DR, COLLEGE STATION, TX 77845-5505
(970) 213-9045
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
917081
TX
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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