Individual
LINDA DARNELL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 PINELAND DR, TRINITY, TX 75862
(936) 662-3215
Mailing address
139 PINELAND DR, TRINITY, TX 75862
(936) 662-3215
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
313458
TX
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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