Individual
CAPRICE KELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 COUNTY ROAD 3130, VALLEY MILLS, TX 76689-3421
(254) 412-8235
Mailing address
1902 PROSPERITY TRL, MC GREGOR, TX 76657-4076
(254) 412-8235
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
06/12/2019
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