Individual
KAYLA SHAQUI BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 W HAWKINS PKWY, LONGVIEW, TX 75605-1723
(903) 445-6419
Mailing address
411 W HAWKINS PKWY, LONGVIEW, TX 75605-1723
(903) 445-6419
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352720
TX
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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