Individual
CAITLIN SHANNON MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13515 W COUNTY ROAD 123, ODESSA, TX 79765-8802
(432) 208-4283
Mailing address
13515 W COUNTY ROAD 123, ODESSA, TX 79765-8802
(432) 208-4283
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
345071
TX
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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