Individual
LAURA TABANGCORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 MANSFIELD RD, RENO, TX 75462-5720
(903) 272-5450
Mailing address
1370 MANSFIELD RD, RENO, TX 75462-5720
(903) 272-5450
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
856374
TX
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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