Individual
BILLIE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 SHERWOOD FOREST DR, WOODVILLE, TX 75979-7295
(409) 429-4037
Mailing address
3330 FANNIN ST, BEAUMONT, TX 77701-3801
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
93188
TX
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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