Individual
LATRISE HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1110 TENAHA ST, CENTER, TX 75935-3036
(936) 598-6608
(936) 598-6618
Mailing address
1110 TENAHA ST, CENTER, TX 75935-3036
(936) 598-6608
(936) 598-6618
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
317312
TX
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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