Individual
MARANDA PINA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 BOOKINS CT, ODESSA, TX 79764-1401
(432) 940-9009
Mailing address
24 BOOKINS CT, ODESSA, TX 79764-1401
(432) 940-9009
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
221601
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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