Individual
KITTIE INETHA WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
2126 S YOUNG ST, ROCKPORT, TX 78382-3247
(361) 249-1165
Mailing address
2126 S YOUNG ST, ROCKPORT, TX 78382-3247
(361) 249-1165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
786729
TX
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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