Individual
AREYA SQUARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
817 LOFTIN ST, CROWLEY, TX 76036
(682) 717-3920
Mailing address
817 LOFTIN ST, CROWLEY, TX 76036
(682) 717-3920
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
228309
TX
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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