Individual
BETHANY DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
22227 FM 16 W, LINDALE, TX 75771-5402
(903) 714-0888
Mailing address
22227 FM 16 W, LINDALE, TX 75771-5402
(903) 714-0888
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344923
TX
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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