Individual
ANGELIQUE MARIE GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
855 E ASH LN APT 805, EULESS, TX 76039-5734
(817) 629-8411
Mailing address
855 E ASH LN APT 805, EULESS, TX 76039-5734
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
182032
TX
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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