Individual
MR. GARY NELSON HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
216 N. JOHN REDDITT DR, LUFKIN, TX 75904
(936) 637-2223
Mailing address
216 N. JOHN REDDITT DR, LUFKIN, TX 75904
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
189969
TX
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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