Individual
KATHLEEN MICHELLE EUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9941 UNION GROVE RD, GLADEWATER, TX 75647-3630
(903) 452-5516
Mailing address
9941 UNION GROVE RD, GLADEWATER, TX 75647-3630
(903) 452-5516
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1013946
TX
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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