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JULIA FAYE KELLUM
Attendant Care Provider >> Technician >> Nursing Service Related ProvidersRegistrant NPI Number: 1144870148
Individual Registrant: JULIA FAYE KELLUM
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
19983 CR 368 JEWETT, TX 75846-5015 US
Tel: 903-626-6906 Fax: --
Tel: 903-626-6906 Fax: --
Contact information for business:
19983 CR 368 JEWETT, TX 75846-5015 US
Tel: 903-626-6906 Fax: --
Tel: 903-626-6906 Fax: --
Registration Information:
NPI: 1144870148
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 3747A0650X | Nursing Service Related Providers Technician Attendant Care Provider |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
