Individual
LAURA MATHIEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 W AVENUE C, TEMPLE, TX 76504-4025
(254) 482-2707
Mailing address
1614 W AVENUE C, TEMPLE, TX 76504-4025
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
215123
TX
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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