Individual
ELIZABETH DIANE JEMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
141 LARKSPUR ST, BECKVILLE, TX 75631
(903) 931-1627
Mailing address
PO BOX 332, BECKVILLE, TX 75631-0332
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
340427
TX
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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