Individual
KIMBERLY DAWN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16047 SYPERT BRANCH RD, ROGERS, TX 76569-4019
(254) 252-5757
Mailing address
16047 SYPERT BRANCH RD, ROGERS, TX 76569-4019
(254) 252-5757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
743331
TX
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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