Individual
DESIREE N TAYLOR BERNUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
819 WATER ST, SUITE 300, KERRVILLE, TX 78028-5333
(830) 258-5430
(830) 792-5771
Mailing address
819 WATER ST, SUITE 300, KERRVILLE, TX 78028-5333
(830) 258-5430
(830) 792-5771
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220947
LVN LICENSE
TX
Enumeration date
04/02/2009
Last updated
04/02/2009
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