Individual
DESTINY PAIGE DOGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2956 COUNTY ROAD 4293, TENAHA, TX 75974-2529
(936) 488-9549
Mailing address
2956 COUNTY ROAD 4293, TENAHA, TX 75974-2529
(936) 488-9549
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352637
TX
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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