Gwen M Mavis, LPN

NPI #1588063416 in Lexington, Missouri

Provider Information

NPI Number
1588063416
Entity Type
Individual
Name
Gwen M Mavis, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Aug 15, 2014
Last Updated
Aug 15, 2014

Practice Location

Address
819 S BUS HWY 13
ZIP Code
64067-1515
Phone
(660) 259-3898

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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