Individual
LUCILA RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 CHASE AVE, CLEBURNE, TX 76031-2210
(817) 357-0102
Mailing address
1107 CHASE AVE, CLEBURNE, TX 76031-2210
(817) 357-0102
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
937002
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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