Individual
JUANITA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11775 WREN RD, CONROE, TX 77303-5099
(936) 648-6201
Mailing address
11775 WREN RD, CONROE, TX 77303-5099
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
144486
TX
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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