Individual
PIEDAD AZALIA PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2927 VAN HWY, TYLER, TX 75702-2647
(903) 426-8730
Mailing address
2927 VAN HWY, TYLER, TX 75702-2647
(903) 426-8730
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34599
TX
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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