Individual
DANYELLE DENISE PIVIDORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
992 MARLANDWOOD RD, TEMPLE, TX 76502
(885) 704-2700
Mailing address
4802 S 31ST ST APT 711, TEMPLE, TX 76502-3476
(254) 577-9696
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
349006
TX
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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