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Individual

JOYCE OMYIA LOEDUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
1330 MAC ARTHUR DR, #2719, CARROLLTON, TX 75007-4464
(972) 201-4968
Mailing address
1330 MAC ARTHUR DR, #2719, CARROLLTON, TX 75007-4464
(972) 201-4968

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
225528
VA

Other

Enumeration date
08/14/2012
Last updated
08/14/2012
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