Individual
LUZ NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 WALCH LN, LEXINGTON, TX 78947-9751
(979) 716-2866
Mailing address
1132 WALCH LN, LEXINGTON, TX 78947-9751
(979) 716-2866
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
10/21/2024
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