Individual
DANA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2101 E FM 1294, LUBBOCK, TX 79403-6637
(806) 470-4017
Mailing address
2101 E FM 1294, LUBBOCK, TX 79403-6637
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
177264
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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