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Individual

KRESCENDA BIRCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
641 SPENCER LN, TYLER, TX 75704-6667
(903) 372-6892
Mailing address
641 SPENCER LN, TYLER, TX 75704-6667

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1008967
TX

Other

Enumeration date
10/07/2020
Last updated
10/07/2020
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