Individual
ANNA DRIEDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 SW 17TH ST, SEMINOLE, TX 79360-4011
(432) 209-1510
Mailing address
PO BOX 1692, SEMINOLE, TX 79360-1692
(432) 209-1510
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
188842
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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