Individual
BLANCA ERIKA REGALADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 WILD WOOD DR, EAGLE PASS, TX 78852-1134
(830) 513-3474
(830) 513-3474
Mailing address
1351 WILD WOOD DR, EAGLE PASS, TX 78852-1134
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
335879
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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