MS. Patrice Levon Nickerson, L.V.N.

NPI #1598852808 in Mt Enterprise, Texas

Provider Information

NPI Number
1598852808
Entity Type
Individual
Name
MS. Patrice Levon Nickerson, L.V.N.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Vocational Nurse
Credential
L.V.N.
Enumeration Date
Oct 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
14915 COUNTY ROAD 3191 S
State
Texas
ZIP Code
75681-4099
Phone
(903) 399-4596

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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