Individual
GRACE VILLARREAL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 GALLEY DR, DENISON, TX 75021-6045
(469) 464-6547
Mailing address
123 GALLEY DR, DENISON, TX 75021-6045
(469) 464-6547
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
333778
TX
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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