Individual
ELIZABETH ROBLES PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
280 EAGLEROCK, POTEET, TX 78065
(210) 860-2132
Mailing address
280 EAGLEROCK, POTEET, TX 78065
(210) 860-2132
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
333463
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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