Individual
KANEITRA NICOLE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
924 OLIVER ST, SAN AUGUSTINE, TX 75972-1042
(936) 221-8569
Mailing address
924 OLIVER ST, SAN AUGUSTINE, TX 75972-1042
(936) 221-8569
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330788
TX
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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