Individual
BAILEA DANYELLE BRANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
249 CR 25300, ROXTON, TX 75477-7547
(903) 495-5548
Mailing address
PO BOX 119, ROXTON, TX 75477-0119
(903) 495-5548
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
349669
TX
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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