Individual
FAWN RINICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1127 CASH ST, MT PLEASANT, TX 75455-4214
(479) 393-1544
Mailing address
716 23RD ST SE, PARIS, TX 75460-6262
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342677
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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