Individual
KATHY GAYE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4662 SIERRA MADRE DR, WICHITA FALLS, TX 76310-2568
(940) 704-6163
Mailing address
4662 SIERRA MADRE DR, WICHITA FALLS, TX 76310-2568
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
68059
TX
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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