Jackie Mayfield, LVN

NPI #1104388859 in Longview, Texas

Provider Information

NPI Number
1104388859
Entity Type
Individual
Name
Jackie Mayfield, LVN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Vocational Nurse
Credential
LVN
Enumeration Date
Apr 2, 2019
Last Updated
Apr 2, 2019

Practice Location

Address
401 JET DR
State
Texas
ZIP Code
75603-9498
Phone
(903) 932-1564

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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