Individual
MISS ANNIE MYREL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
704 RICHARDSON DR, HENDERSON, TX 75654-3844
(903) 646-8276
Mailing address
704 RICHARDSON DR, HENDERSON, TX 75654-3844
(903) 646-8276
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
191611
TX
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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