Individual
LADIE WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18108 S PARKVIEW DR APT I17, HOUSTON, TX 77084-6578
(609) 694-9535
Mailing address
18108 S PARKVIEW DR APT I17, HOUSTON, TX 77084-6578
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347099
TX
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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