Individual
MRS. LISA G ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
509 N MARKET ST, HALLETTSVILLE, TX 77964-2442
(361) 218-8056
Mailing address
509 N MARKET ST, HALLETTSVILLE, TX 77964-2442
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
154450
TX
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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