Individual
MAGGIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11061 LONETREE CIR, TYLER, TX 75706-4242
(903) 570-3329
Mailing address
11061 LONETREE CIR, TYLER, TX 75706-4242
(903) 570-3329
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
131005
TX
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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