Individual
MONICA LYNN GASAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 MOCKINGBIRD LN, NACOGDOCHES, TX 75964-6583
(936) 707-0888
Mailing address
507 MOCKINGBIRD LN, NACOGDOCHES, TX 75964-6583
(936) 707-0888
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
808186
TX
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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