Individual
ALEXANDER BLAKE JAMIESON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 877-7777
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1094952
TX
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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