Individual
ARLISIA EVETTE STANSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 US HIGHWAY 59 N, TIMPSON, TX 75975-7597
(936) 274-3050
Mailing address
719 US HIGHWAY 59 N, TIMPSON, TX 75975
(936) 274-3050
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
178052
TX
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
311Z00000X
Custodial Care Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/15/2021
Last updated
04/30/2024
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