Individual
LESVIA CASTILLO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 HOLLY OAK ST, NACOGDOCHES, TX 75964-5805
(936) 645-0910
Mailing address
914 HOLLY OAK ST, NACOGDOCHES, TX 75964-5805
(936) 645-0910
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332476
TX
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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