Individual
DELIA SHAVON MADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1937 HILLTOP DR, WACO, TX 76710-1035
(254) 339-9581
Mailing address
1937 HILLTOP DR, WACO, TX 76710-1035
(254) 339-9581
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
231225
TX
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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