Individual
ANTOINESHA TRENAE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
309 S JARVIS ST, LONGVIEW, TX 75601-7605
(903) 619-0201
Mailing address
309 S JARVIS ST, LONGVIEW, TX 75601-7605
(903) 619-0201
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347175
TX
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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