Individual
LATAVIA STARLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 STATE HIGHWAY 31 E, KILGORE, TX 75662-6805
(903) 392-5466
Mailing address
1903 STATE HIGHWAY 31 E, KILGORE, TX 75662-6805
(903) 392-5466
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344401
TX
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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