Individual
MISS CIERRA RAYE GARDEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4709 TAFT BLVD APT 103, WICHITA FALLS, TX 76308-5003
(940) 923-8585
Mailing address
4709 TAFT BLVD APT 103, WICHITA FALLS, TX 76308-5003
(940) 923-8586
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341212
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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