Individual
DARRIAN ALEXUS PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12462 SWEET WILLIAM RD, ORE CITY, TX 75683-5151
(903) 239-3365
Mailing address
PO BOX 362, ORE CITY, TX 75683-0362
(903) 239-3365
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352430
TX
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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