Individual
DESIREE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1448 W FAIRMONT ST UNIT 204, LONGVIEW, TX 75604-4485
(903) 240-7882
Mailing address
1448 W FAIRMONT ST UNIT 204, LONGVIEW, TX 75604-4485
(903) 240-7882
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
333928
TX
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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