Individual
LAURA MICHELLE PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2789 COUNTY ROAD 306, ROCKDALE, TX 76567-5220
(512) 429-0128
Mailing address
2789 COUNTY ROAD 306, ROCKDALE, TX 76567-5220
(512) 429-0128
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
228206
TX
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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