Individual
GLENDA KATHRYN. (KATHY) WALDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN/LPN
Contact information
Practice address
308 COUNTY ROAD 1927, MT PLEASANT, TX 75455-8676
(903) 285-9694
Mailing address
308 COUNTY ROAD 1927, MT PLEASANT, TX 75455-8676
(903) 285-9694
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
316852
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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