Individual
CH'VIA MINYON DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 JET DR, LONGVIEW, TX 75603-9498
(903) 431-6857
Mailing address
401 JET DR, LONGVIEW, TX 75603-9498
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
321432
TX
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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