Individual
MRS. ANNALICE GALE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
407 E 2ND ST, BURKBURNETT, TX 76354-3462
(940) 232-6783
Mailing address
407 E 2ND ST, BURKBURNETT, TX 76354-3462
(940) 232-6783
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
232911
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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