Miles Mandel Bright LVN

NPI 1679768717 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1679768717
Gender Male
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
412 CATTAIL CIR
HARKER HEIGHTS TX, 76548-2654, US
Phone (254) 634-0287
Fax
Business Location
412 CATTAIL CIR
HARKER HEIGHTS TX, 76548-2654, US
Phone (254) 634-0287
Fax
Toxanomy
Taxonomy Code 164X00000X
License State Texas
License Number 173705
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According to our database, Miles Mandel Bright LVN NPI is 1679768717, taxonomy code is 164X00000X and license number is 173705, license state is located at Texas. Miles Mandel Bright LVN physically located at 412 Cattail Cir, Harker Heights TX, 76548-2654. NPI Number Miles Mandel Bright LVN has the Individual type.

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1679768717 NPI number is provided on an as is basis without warranty of any kind. 1679768717 is maintained by the National Plan & Provider Enumeration System. The contents of Miles Mandel Bright LVN are for informational purposes only.