Individual
GLENDA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
443 WHITFILL RD, ENNIS, TX 75119-0423
(469) 732-4754
Mailing address
443 WHITFILL RD, ENNIS, TX 75119-0423
(469) 732-4754
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1433742
TX
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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