Individual
CAROLYN LAJOYCE BRENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 SLONE DR, MARSHALL, TX 75672-2459
(903) 742-1919
Mailing address
807 SLONE DR, MARSHALL, TX 75672-2459
(903) 742-1919
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
183544
TX
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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