Individual
CATHERINE MARIE AHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 ANGEL LN, SEGUIN, TX 78155-0810
(830) 534-1257
Mailing address
149 ANGEL LN, SEGUIN, TX 78155-0810
(830) 534-1257
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
154235
TX
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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