Individual
LINDA HUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
821 POE ST, AZLE, TX 76020-2647
(817) 991-8054
Mailing address
821 POE ST, AZLE, TX 76020-2647
(817) 991-8054
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
68311
TX
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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