Individual
MAYRA CAVAZOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4646 CORONA DR STE 260, CORPUS CHRISTI, TX 78411-4395
(361) 334-1609
(361) 906-0478
Mailing address
2704 JJ JORGE ST, LAREDO, TX 78041-5691
(956) 615-3411
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
924966
TX
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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