Individual
DEBORAH NALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 N 2ND ST, LONGVIEW, TX 75601-6438
(903) 236-0606
Mailing address
512 N 2ND ST, LONGVIEW, TX 75601-6438
(903) 236-0606
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
07/15/2015
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