Individual
DESIRAE RENFROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2610 TEMPLE AVE, BROWNWOOD, TX 76801-1219
(830) 328-0952
Mailing address
2610 TEMPLE AVE, BROWNWOOD, TX 76801-1219
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
309159
TX
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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