Individual
NIA LYNSHUN WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 S HOUSTON ST, LONGVIEW, TX 75602-3317
(903) 738-1404
Mailing address
PO BOX 13083, LONGVIEW, TX 75607-3083
(903) 738-1404
(903) 704-0273
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA55071
TX
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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