Individual
CHRISTY MICHELLE CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
118 S 31ST STREET, CORSICANA, TX 75110
(903) 357-9980
Mailing address
118 S 31ST ST, CORSICANA, TX 75110-4012
(903) 357-9980
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
223163
TX
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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