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Individual
TAWANNA ALCORTA
Active
Individual
TAWANNA ALCORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
219835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173913801
—
TX
Enumeration date
08/08/2018
Last updated
08/08/2018
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