Individual
MARIA VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 NE 5TH ST, ANDREWS, TX 79714-5323
(325) 725-4806
Mailing address
605 NE 5TH ST, ANDREWS, TX 79714-5323
(325) 725-4806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
181376
TX
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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