Individual
KEAIRA KEONTE DRAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1302 CORNELL ST, LONGVIEW, TX 75601-3534
(903) 331-2078
Mailing address
1302 CORNELL ST, LONGVIEW, TX 75601-3534
(903) 331-2078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
982300
TX
164X00000X
Licensed Vocational Nurse
338219
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/22/2018
Last updated
08/20/2024
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