Individual
JANICE KAY CHURCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 COUNTY ROAD 3102, CENTER, TX 75935-5581
(936) 591-8995
Mailing address
4415 COUNTY ROAD 430, JOAQUIN, TX 75954-1211
(936) 205-6976
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
166677
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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