Individual
CHANTEL L KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 COUNTY ROAD 819, BUNA, TX 77612-6119
(409) 382-3702
Mailing address
241 COUNTY ROAD 819, BUNA, TX 77612-6119
(409) 382-3702
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
233262
TX
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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