Individual
MRS. ANGELA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9301 ZAYDEN DR, KILLEEN, TX 76542-6355
(254) 317-6714
Mailing address
9301 ZAYDEN DR, KILLEEN, TX 76542-6355
(254) 317-6714
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
227758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227758
NURSING LICENSE
TX
Enumeration date
08/28/2018
Last updated
08/28/2018
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