Individual
PAIGE MICHELLE IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6844 N US HIGHWAY 69, POLLOK, TX 75969-4548
(936) 634-3353
Mailing address
238 OAK MEADOW LN, LUFKIN, TX 75904-3415
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
878916
TX
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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