Individual
BETHANY ARIAL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
216 N JOHN REDDITT DR, LUFKIN, TX 75904-2620
(936) 637-2223
Mailing address
216 N JOHN REDDITT DR, LUFKIN, TX 75904-2620
(936) 637-2223
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1026521
TX
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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