Tonya Stark
Licensed Vocational Nurse in Tyler, TX. Individual provider (NPI-1).
NPI number1669953360
StatusActive
Last updated in NPPESAug 22, 2018
Details
- NPI
- 1669953360
- Entity type
- Individual (NPI-1)
- Name
- Tonya Stark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2018
- Last updated
- Aug 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 174900 | TX | Yes |
Practice location
9846 Hwy 31 ETyler, TX 75705-2329
Phone 903-592-8001
Mailing address
9846 Hwy 31 ETyler, TX 75705-2329
Phone 903-592-8001
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