Individual
MISS AUDREY JANE GUDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070
Mailing address
13516 COUNTY ROAD 4200, LINDALE, TX 75771-7904
(307) 253-8260
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
329770
TX
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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