Individual
LOLA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
129 BEREA 7, JEFFERSON, TX 75657-6529
(903) 738-3020
Mailing address
129 BEREA 7, JEFFERSON, TX 75657-6529
(903) 738-3020
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
432987
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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