Individual
CASEY ROSKYDOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13861 RACEWAY DR APT 732, NORTHLAKE, TX 76262-6557
(682) 429-6272
Mailing address
13861 RACEWAY DR APT 732, NORTHLAKE, TX 76262-6557
(682) 429-6272
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
314253
TX
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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