Individual
LAKEISHA REPRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1201 CASANDRA DR, LONGVIEW, TX 75605-1541
(903) 235-9441
Mailing address
1201 CASANDRA DR, LONGVIEW, TX 75605-1541
(903) 235-9441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
936286
TX
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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