Individual
MACIE QUICK ISTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 FELTS ST, HEMPHILL, TX 75948-7417
(936) 201-7624
Mailing address
285 FELTS ST, HEMPHILL, TX 75948-7417
(936) 201-7624
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
346884
TX
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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