Individual
KATRINA TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1287 COUNTY ROAD 4120, SIMMS, TX 75574-4620
(903) 949-1869
Mailing address
PO BOX 6362, LONGVIEW, TX 75608-6362
(903) 949-1869
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
209634
TX
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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