Individual
DESTINI DAWN KNOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 LAUREL RD, ATHENS, TX 75751-3302
(903) 221-3901
(903) 221-3901
Mailing address
602 LAUREL RD, ATHENS, TX 75751-3302
(903) 221-3901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
877453
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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