Individual
TWILLIA MARIE BIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 SYCAMORE RD, MELISSA, TX 75454-2549
(909) 600-3867
Mailing address
4301 SYCAMORE RD, MELISSA, TX 75454-2549
(909) 600-3867
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26465
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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