Individual
MRS. ELLERA LOUISE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
212 W WINTERGREEN RD APT 1084, DESOTO, TX 75115-2355
(972) 223-7485
Mailing address
212 W WINTERGREEN RD APT 1084, DESOTO, TX 75115-2355
(972) 223-7485
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
197254
TX
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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