MRS. Tamara Tashay Lilly, LVN

NPI #1053815670 in Kilgore, Texas

Provider Information

NPI Number
1053815670
Entity Type
Individual
Name
MRS. Tamara Tashay Lilly, LVN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Vocational Nurse
Credential
LVN
Enumeration Date
Mar 20, 2018
Last Updated
Mar 20, 2018

Practice Location

Address
3836 COUNTY ROAD 177D
State
Texas
ZIP Code
75662-1180
Phone
(903) 806-2653

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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