Individual
JENELL LAVON RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
909 8TH ST STE 100, WICHITA FALLS, TX 76301-6818
(940) 733-9986
Mailing address
1326 TEXAS ST, VERNON, TX 76384-7863
(940) 473-1886
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
327637
TX
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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