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Individual

ANGELICA CORDERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070
Mailing address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1007219
TX

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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