Individual
LAVINIA CARBAJAL OLAVARRIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
753 SUGAR HILL DR, LA PORTE, TX 77571-2726
(832) 573-2106
Mailing address
753 SUGAR HILL DR, LA PORTE, TX 77571-2726
(832) 573-2106
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
12762
TX
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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