Individual
LAINE MARIE NOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7966 COUNTY ROAD 329, BUFFALO, TX 75831-3878
(641) 640-7006
Mailing address
7966 COUNTY ROAD 329, BUFFALO, TX 75831-3878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
943958
TX
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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