Individual
BONNIE ROSE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1861 COUNTY ROAD 149, FLINT, TX 75762-6961
(903) 283-1398
Mailing address
1861 COUNTY ROAD 149, FLINT, TX 75762-6961
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
191063
TX
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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