Individual
MISS KELSI SHAY RAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
809 SHEA LN, MIDLAND, TX 79706-7219
(208) 821-2242
Mailing address
809 SHEA LN, MIDLAND, TX 79706-7219
(208) 821-2242
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344642
TX
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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