Individual
THELMA IVY REYESMCCHESNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
163 VILLAGE EAST DR, LOS FRESNOS, TX 78566-3104
(956) 254-6089
Mailing address
163 VILLAGE EAST DR, LOS FRESNOS, TX 78566-3104
(956) 254-6089
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1011628
TX
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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