Individual
MS. ANGELA DAVEY HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
427 E 5TH ST, TYLER, TX 75701-4302
(903) 372-0442
Mailing address
427 E 5TH ST, TYLER, TX 75701-4302
(903) 372-0442
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
229957
TX
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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