Individual
JILL MARIE TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
103 KRISTEN CT # 2, COLLINSVILLE, TX 76233-5442
(903) 651-1275
Mailing address
103 KRISTEN CT # 2, COLLINSVILLE, TX 76233-5442
(903) 651-1275
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
128561
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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