Individual
KAITLYN D LUNSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4060 HIGHWAY 6 S STE 150, COLLEGE STATION, TX 77845-8962
(979) 431-3380
Mailing address
4 TERRY RD, HUNTSVILLE, TX 77340-0810
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
318060
TX
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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