Individual
LACONGA VENESSA PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4201 S CONGRESS AVE, AUSTIN, TX 78745-1198
(512) 697-8500
Mailing address
PO BOX 573, MANCHACA, TX 78652-0573
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
907289
TX
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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