Individual
JEAN M PELATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
601 UNIVERSITY DR, SAN MARCOS, TX 78666-4685
(512) 245-2161
Mailing address
601 UNIVERSITY DR, SAN MARCOS, TX 78666-4685
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
126083
TX
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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