Individual
CARMENMARIA CORLISS KOLYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-9890
Mailing address
5427 28TH ST, LUBBOCK, TX 79407-3403
(806) 535-5655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
744965
TX
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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