Individual
JANNA MCMILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
859 RUSK AVE, WELLS, TX 75976
(936) 414-5397
Mailing address
887 RUSK AVE, PO BOX 278, WELLS, TX 75976
(936) 414-5397
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
164275
TX
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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