Individual
DEBRA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
106 VERNA JOE, WHITNEY, TX 76692-5800
(254) 221-2657
Mailing address
106 VERNA JOE, WHITNEY, TX 76692-5800
(254) 221-2657
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
187980
TX
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
06/12/2019
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