Individual
CANDI NAOMI MARMOLEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
56 EAST AVE, AUSTIN, TX 78701-4323
(512) 703-1365
(512) 804-3457
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 704-1394
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
323541
TX
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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