Individual
GWEN BOYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
19232 COUNTY ROAD 2187 E, TATUM, TX 75691-3768
(903) 754-0221
Mailing address
19232 COUNTY ROAD 2187 E, TATUM, TX 75691-3768
(903) 754-0221
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
37974
TX
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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