Individual
MISS KORIE SHANNONETTE PARDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9310 HEATHERSIDE ST, HOUSTON, TX 77016-4604
(713) 702-1913
Mailing address
9310 HEATHERSIDE ST, HOUSTON, TX 77016-4604
(713) 702-1913
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
187675
TX
164X00000X
Licensed Vocational Nurse
Primary
187675
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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