Individual
LESLI RENAE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S CULBERSON ST APT 7301, GAINESVILLE, TX 76240-3857
(940) 232-0678
Mailing address
400 S CULBERSON ST APT 7301, GAINESVILLE, TX 76240-3857
(940) 232-0678
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
192121
TX
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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