Individual
LAVETA SUE RAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 COUNTY ROAD 1914, LINDEN, TX 75563-4111
(903) 559-3433
Mailing address
221 COUNTY ROAD 1914, LINDEN, TX 75563-4111
(903) 559-3433
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
323395
TX
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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