Individual
MRS. EDNA MARIE CANTU I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1611 CASTLEWOOD CT, TAYLOR, TX 76574-1469
(512) 971-3420
Mailing address
1611 CASTLEWOOD CT, TAYLOR, TX 76574-1469
(512) 971-3420
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
69108
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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