Individual
ANGELA MARIE JORDAN BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1003 E MAIN ST, WHITEHOUSE, TX 75791-3641
(903) 944-2638
Mailing address
755 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 534-4684
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
351593
TX
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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