Individual
PRECIOUS HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W CEDAR ST, DURANT, OK 74701-4249
(512) 938-9208
Mailing address
1101 W CEDAR ST, DURANT, OK 74701-4249
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330315
TX
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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