Individual
CHEROKEE RAINE BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6715 FM 3150, LUFKIN, TX 75904-6462
(936) 707-5158
Mailing address
6715 FM 3150, LUFKIN, TX 75904-6462
(936) 707-5158
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
340411
TX
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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