Mary Grace Willis, LVN

NPI #1629677406 in Alba, Texas

Provider Information

NPI Number
1629677406
Entity Type
Individual
Name
Mary Grace Willis, LVN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Credential
LVN
Enumeration Date
Oct 22, 2020
Last Updated
Oct 22, 2020

Practice Location

Address
232 COUNTY ROAD 2921
City
Alba
State
Texas
ZIP Code
75410-5830
Phone
(832) 412-6165

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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