Holly Rae Statham
NPI #1407314297 in Wellington, Texas
Provider Information
- NPI Number
- 1407314297
- Entity Type
- Individual
- Name
- Holly Rae Statham
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Mar 11, 2019
- Last Updated
- Mar 11, 2019
Practice Location
- Address
- 1302 CHILDRESS ST
- City
- Wellington
- State
- Texas
- ZIP Code
- 79095-3626
- Phone
- (806) 205-1494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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