Individual
JOSIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14722 COUNTY ROAD 4188 S, HENDERSON, TX 75654-6344
(903) 646-6250
Mailing address
14722 COUNTY ROAD 4188 S, HENDERSON, TX 75654-6344
(903) 646-6250
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
351409
TX
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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