Individual
MARICELA BALBUENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
220 SANTA FE TRL, EAGLE PASS, TX 78852-6827
(830) 352-1019
(830) 352-1019
Mailing address
220 SANTA FE TRL, EAGLE PASS, TX 78852-6827
(830) 352-1019
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
333520
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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