Individual
MRS. KRYSTEL MARIE GUBERNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
909 8TH ST STE 100, WICHITA FALLS, TX 76301-6818
(940) 761-9986
Mailing address
909 8TH ST STE 100, WICHITA FALLS, TX 76301-6818
(040) 761-9986
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
349980
TX
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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