LAKIMBERELY SHAJUAN WOOTEN

LINDALE, TX
NPI1538881503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1037698)
Enumeration Date2022-09-15
Last Update Date2023-09-26
Business Address
Ms. LAKIMBERELY SHAJUAN WOOTEN APRN
103 N MAIN ST
LINDALE, TX 75771-3115
Phone number: 903-882-3194
Mailing Address
Ms. LAKIMBERELY SHAJUAN WOOTEN APRN
4002 TECHNOLOGY CTR
LONGVIEW, TX 75605-2697
Phone number: 903-247-0484