Individual
KRISTA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5058 PALUXY DR APT 8201, TYLER, TX 75703-6318
(817) 862-8816
Mailing address
5058 PALUXY DR APT 8201, TYLER, TX 75703-6318
(817) 862-8816
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
302826
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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