Individual
MAKENZIE DAWN FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 N CUMMINGS DR LOT 55, ALVARADO, TX 76009-6424
(325) 794-8520
Mailing address
3600 N CUMMINGS DR LOT 55, ALVARADO, TX 76009-6424
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
337996
TX
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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