Individual
LOUBERTA MARIE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
918 DELAWARE DR, TEMPLE, TX 76504-7915
(254) 217-0199
Mailing address
918 DELAWARE DR, TEMPLE, TX 76504-7915
(254) 217-0199
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
105306
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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