Individual
HOLLY RENAE BARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1733 TEXOMA PKWY, SHERMAN, TX 75090-2613
(903) 893-1700
Mailing address
4314 QUAIL RUN RD, SHERMAN, TX 75092-8714
(903) 771-9993
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
345431
TX
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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