Individual
KRYSTIN NICOLE LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1103 COLLINS RD, HALLSVILLE, TX 75650-3545
(936) 933-1691
Mailing address
1103 COLLINS RD, HALLSVILLE, TX 75650-3545
(936) 933-1691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
945827
TX
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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