Individual
BLISS FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 ALTA ST, LONGVIEW, TX 75604-1106
(903) 445-7744
Mailing address
207 ALTA ST, LONGVIEW, TX 75604-1106
(903) 445-7744
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336842
TX
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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