Individual
KAYLA LIEN HIMPHAYVANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 PLEASANT VALLEY DR STE 210, BOERNE, TX 78006-5683
(830) 267-4575
(830) 267-4575
Mailing address
113 PLEASANT VALLEY DR STE 210, BOERNE, TX 78006-5683
(830) 267-4575
(830) 267-4575
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139661
TX
Other
Enumeration date
01/08/2019
Last updated
08/04/2020
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