Individual
MRS. JANE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4104 LENORE DR, WICHITA FALLS, TX 76306-1807
(940) 855-2855
Mailing address
4104 LENORE DR, WICHITA FALLS, TX 76306-1807
(940) 855-2855
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
83160
TX
Other
Enumeration date
08/05/2007
Last updated
05/21/2008
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