Individual
DANA MARIE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9747 HARBOR MIST LN, CONVERSE, TX 78109-1836
(678) 588-2553
Mailing address
9747 HARBOR MIST LN, CONVERSE, TX 78109-1836
(678) 588-2553
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
089074
NC
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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