Individual
JACIE MAKAYE PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N SENECA ST, IOWA PARK, TX 76367-2153
(940) 781-6223
Mailing address
110 N SENECA ST, IOWA PARK, TX 76367-2153
(940) 781-6223
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336417
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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