Individual
FELICA NICOLE BURKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 452-2735
Mailing address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 452-2735
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
186099
TX
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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