Individual
JOAN R DEPRATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
211 SUNRAY RD, TEXARKANA, TX 75501-2533
(903) 278-6659
Mailing address
211 SUNRAY RD, TEXARKANA, TX 75501-2533
(903) 278-6659
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
217511
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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