Individual
ILEANA EDITH ANAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4135 N 42ND LN, MCALLEN, TX 78504-5458
(956) 708-7509
Mailing address
4135 N 42ND LN, MCALLEN, TX 78504-5458
(956) 708-7509
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
335228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/31/2018
Last updated
04/03/2020
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