Individual
DIANA MARGARITA MALDONADO,
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3569 REY DAVID DR, BROWNSVILLE, TX 78521-4418
(956) 639-0732
Mailing address
3569 REY DAVID DR, BROWNSVILLE, TX 78521-4418
(956) 639-0732
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
309379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/25/2018
Last updated
04/03/2020
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