Individual
KARYSSA LISETTE DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
809 11TH ST, HONDO, TX 78861-1301
(830) 426-0862
Mailing address
809 11TH ST, HONDO, TX 78861-1301
(830) 426-0862
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1018239
TX
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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