Individual
LISA RACHAEL GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
804 LAUREL DR, BRADY, TX 76825-5315
(325) 240-8427
Mailing address
804 LAUREL DR, BRADY, TX 76825-5315
(325) 240-8427
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
178591
TX
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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