Individual
KATIE GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 525-3801
(903) 525-3858
Mailing address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 525-3801
(903) 525-3858
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
83982
TX
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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