Individual
ANASTACIA EREBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 E. BEN WHITE BLVD, AUSTIN, TX 78741
(512) 472-4357
Mailing address
1500 W WILLIAM CANNON DR, APT 206, AUSTIN, TX 78745-3182
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
326877
TX
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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