Individual
MS. DOMITILA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1855 GLENHAVEN DR, ABILENE, TX 79603-4325
(325) 660-8921
Mailing address
1855 GLENHAVEN DR, ABILENE, TX 79603-4325
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
110477
TX
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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