Individual
ANDREA KOTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1342 COUNTY ROAD 352, LA VERNIA, TX 78121-4024
(830) 557-2242
Mailing address
1342 COUNTY ROAD 352, LA VERNIA, TX 78121-4024
(830) 557-2242
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
221404
TX
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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