Deatra Robertson
Licensed Vocational Nurse in Longview, TX. Individual provider (NPI-1).
NPI number1902385404
StatusActive
Last updated in NPPESAug 7, 2018
Details
- NPI
- 1902385404
- Entity type
- Individual (NPI-1)
- Name
- Deatra Robertson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2018
- Last updated
- Aug 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 330883 | TX | Yes |
Practice location
2912 Ladd LnLongview, TX 75604-1519
Phone 903-601-0513
Mailing address
2912 Ladd LnLongview, TX 75604-1519
Phone 903-601-0513
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All 37 Licensed Vocational Nurse providers in Longview · All 2,907 providers in Longview
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