DERICK MIMS

TYLER, TX
NPI1417561804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  206998)
Enumeration Date2020-09-02
Last Update Date2020-09-02
Business Address
DERICK MIMS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-3714
Mailing Address
DERICK MIMS
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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