Individual
KALEIGH TITSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 COUNTY ROAD 4443, TRENTON, TX 75490-6066
(903) 227-4002
Mailing address
416 COUNTY ROAD 4443, TRENTON, TX 75490-6066
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
349640
TX
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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