Individual
CAMILLE GASAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2525 OLD FARM RD, HOUSTON, TX 77063-4413
(325) 864-4356
Mailing address
2525 OLD FARM RD APT 2621, HOUSTON, TX 77063-4425
(325) 864-4356
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
223892
TX
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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