Individual
JACOB OLVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
701 HERON AVE, MCALLEN, TX 78504-2049
(956) 283-6754
Mailing address
2522 BUDDY OWENS AVE, MCALLEN, TX 78504-5464
(956) 630-1116
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
348185
TX
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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