Individual
MARIE HUMMEL-EISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN, PHT
Contact information
Practice address
756 NORTHWEST DR, FREDERICKSBURG, TX 78624-5921
(830) 997-9417
Mailing address
PO BOX 2467, FREDERICKSBURG, TX 78624-1922
(830) 997-9417
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
169513
TX
183700000X
Pharmacy Technician
06659
TX
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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