Individual
CONICIA NICOLE ECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2204 REDBUD ST, KILGORE, TX 75662-3857
(903) 985-4315
Mailing address
2204 REDBUD ST, KILGORE, TX 75662-3857
(903) 985-4315
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
346497
TX
Other
Enumeration date
06/13/2019
Last updated
06/30/2021
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