Individual
LAURA RUTH ANNE HULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2585 S DANVILLE DR, ABILENE, TX 79605-6414
(325) 690-0583
Mailing address
7050 COUNTY ROAD 334, BLANKET, TX 76432-6419
(325) 203-0023
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
844343
TX
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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