Individual
WYKINNA TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 WALTON RD APT 920, TYLER, TX 75701-0720
(903) 216-8993
Mailing address
3220 WALTON RD APT 920, TYLER, TX 75701-0720
(903) 216-8993
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1013620
TX
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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