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Individual

SANDRA L HOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,CDE

Contact information

Practice address
703 E MARSHALL AVE STE 1001, LONGVIEW, TX 75601-5500
(903) 753-7291
(903) 315-5000
Mailing address
703 E MARSHALL AVE STE 1001, LONGVIEW, TX 75601-5500
(903) 753-7291
(903) 315-5000

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
447016
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
447016
TEXAS BOARD OF NURSING
TX
Enumeration date
02/29/2008
Last updated
05/05/2008
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