Individual
MARISA WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
412 MAGGIE TRL, LUCAS, TX 75002-1403
(214) 620-6575
Mailing address
412 MAGGIE TRL, LUCAS, TX 75002-1403
(214) 620-6575
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
210678
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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