Individual
CONSUELO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1220 LINDSEY LN UNIT B, CLEBURNE, TX 76033-6584
(817) 204-4975
Mailing address
1220 LINDSEY LN UNIT B, CLEBURNE, TX 76033-6584
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
187851
TX
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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