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Individual

KRYSTAL LEE YBARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1904 E GRIFFIN PKWY STE B, MISSION, TX 78572-3106
(956) 316-3627
Mailing address
1904 E GRIFFIN PKWY STE B, MISSION, TX 78572-3106
(956) 316-3627

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
156364
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
156364
TEXAS BOARD OF NURSING NUMBER
TX
Enumeration date
08/24/2018
Last updated
08/24/2018
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