Individual
GEORGINA TOBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
702 RICKY CROSS, ELSA, TX 78543
(956) 000-0000
Mailing address
PO BOX 402, ELSA, TX 78543-0402
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
210110
TX
Other
Enumeration date
10/07/2017
Last updated
05/22/2019
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