Individual
LINDA MARIE MOTHERWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
418 W MAIN ST, NACOGDOCHES, TX 75961-4814
(936) 552-1609
Mailing address
418 W MAIN ST, NACOGDOCHES, TX 75961-4814
(936) 552-1609
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
534217
TX
Other
Enumeration date
03/10/2008
Last updated
03/22/2022
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