Individual
MS. CONSTANCE ELIZABETH VANVALKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5200 BUNNY TRL, KILLEEN, TX 76549-6930
(254) 553-8110
Mailing address
5200 BUNNY TRL, KILLEEN, TX 76549-6930
(254) 553-8110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
171268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1237410048
LPN-164WOOOOOX
TX
Enumeration date
04/16/2021
Last updated
04/16/2021
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