Individual
KRISTIE DIANE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
302 W CHESTNUT ST, THROCKMORTON, TX 76483-5601
(940) 345-0452
Mailing address
302 W CHESTNUT ST, THROCKMORTON, TX 76483-5601
(940) 345-0452
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
169299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164X00000X
ANGELS OF CARE
TX
Enumeration date
02/18/2018
Last updated
02/18/2018
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