Individual
ELMA ESTELA REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
228 SAINT GEORGE ST, GONZALES, TX 78629-3910
(830) 672-6511
Mailing address
228 SAINT GEORGE ST, GONZALES, TX 78629-3910
(830) 672-6511
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
164830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164830
VOCATION NURSE LICENSE
TX
Enumeration date
12/28/2006
Last updated
07/08/2007
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