Individual
MRS. DEE ANN VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3650 LAUREL ST, BEAUMONT, TX 77707-2216
(409) 838-0346
(409) 924-4951
Mailing address
3650 LAUREL ST, BEAUMONT, TX 77707-2216
(409) 838-0346
(409) 924-4951
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
137164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137164
LICENSE
TX
Enumeration date
12/08/2009
Last updated
12/08/2009
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