Individual
MISS HALEY LYNN DOMINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6028 GRACE AVE, TYLER, TX 75707-0007
(903) 714-0822
Mailing address
6028 GRACE AVE, TYLER, TX 75707-0007
(903) 714-0822
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
335910
TX
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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