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Individual provider · Licensed Vocational Nurse · Rosenberg, TX

NPI

1427616739

Type

Individual (Type 1)

Primary specialty

Licensed Vocational Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164X00000X

License number

217297 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2019-06-01

Last updated

2019-07-01