Individual
LETTI VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4636 COUNTY ROAD 112 N, OVERTON, TX 75684-5103
(903) 722-3055
Mailing address
4636 COUNTY ROAD 112 N, OVERTON, TX 75684-5103
(903) 722-3055
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
724917
TX
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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