Individual
ELVIRA BUCTON CONSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 FLAMINGO WAY, MESQUITE, TX 75150-3314
(214) 270-4150
Mailing address
4020 FLAMINGO WAY, MESQUITE, TX 75150-3314
(214) 270-4150
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
227810
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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