Individual
CAPRISE CARRISALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2536 WESTOVER, #140, BIG SPRING, TX 79720
(432) 816-2350
Mailing address
2538 WESTOVER, #140, BIG SPRING, TX 79720
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343807
TX
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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