Individual
MARIA ROSE SEVIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
209 S 28TH ST, WACO, TX 76710-7415
(530) 604-8022
(530) 241-1174
Mailing address
209 S 28TH ST, WACO, TX 76710-7415
(530) 604-8022
(530) 241-1174
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1034526
TX
363LG0600X
Gerontology Nurse Practitioner
26NJ00738900
NJ
Other
Enumeration date
09/14/2017
Last updated
07/20/2021
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