Vella Maddox RN

NPI 1043522030 - Chore Provider - 372500000X

NPI Details
NPI 1043522030
Gender Female
Enumeration Date 07/08/2010
Last Updated 07/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2836 COUNTY ROAD 16060
DEPORT TX, 75435-4800, US
Phone (903) 632-5828
Fax (903) 632-5828
Business Location
2836 COUNTY ROAD 16060
DEPORT TX, 75435-4800, US
Phone (903) 632-5828
Fax (903) 632-5828
Toxanomy
Taxonomy Code 372500000X
License State Texas
License Number 640902
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According to our database, Vella Maddox RN NPI is 1043522030, taxonomy code is 372500000X and license number is 640902, license state is located at Texas. Vella Maddox RN physically located at 2836 County Road 16060, Deport TX, 75435-4800. NPI Number Vella Maddox RN has the Individual type.

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1043522030 NPI number is provided on an as is basis without warranty of any kind. 1043522030 is maintained by the National Plan & Provider Enumeration System. The contents of Vella Maddox RN are for informational purposes only.