Individual
KIM LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 MARTIN AVE, ROUND ROCK, TX 78681-7319
(512) 248-2266
Mailing address
810 MARTIN AVE, ROUND ROCK, TX 78681-7319
(512) 248-2266
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
141671
TX
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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