Individual
DEBBIE JANETTE WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 TOWERING OAKS HVN, LONGVIEW, TX 75602-7658
(903) 746-5224
Mailing address
190 TOWERING OAKS HVN, LONGVIEW, TX 75602-7658
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
225383
TX
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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