Individual
ANITA MAE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1601 W KENTUCKY AVE, PAMPA, TX 79065-3918
(806) 874-3477
Mailing address
PO BOX 894, CLARENDON, TX 79226-0894
(806) 874-3477
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
233005
TX
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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