Individual
MRS. DEKEITHRA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
6403 SERPENTINE DR, KILLEEN, TX 76542-5023
(254) 394-0766
Mailing address
6403 SERPENTINE DR, KILLEEN, TX 76542-5023
(254) 394-0766
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
206237
TX
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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