Individual
ANGELICA MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5911 RICHMOND RD APT 2208, TEXARKANA, TX 75503-0495
(903) 293-4794
Mailing address
5911 RICHMOND RD APT 2208, TEXARKANA, TX 75503-0495
(903) 293-4794
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
223885
TX
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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