KATHY L GILLISPIE

FORT WORTH, TX
NPI1629654553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TX  126387)
Enumeration Date2021-03-22
Last Update Date2021-03-22
Business Address
Mr. KATHY L GILLISPIE Lvn
1314 LAKE ST
FORT WORTH, TX 76102-4581
Phone number: 817-721-5918
Mailing Address
Mr. KATHY L GILLISPIE Lvn
1314 LAKE ST
FORT WORTH, TX 76102-4581
Phone number: 817-721-5918