Individual
LUZ ELENA LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11245 15 ST SE, PARIS, TX 75460
(903) 495-9723
Mailing address
1124 15TH ST SE, PARIS, TX 75460-7533
(903) 495-9723
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344075
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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