Individual
CRISTINA YADIRA AVELLANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2518 MERRY LN, TYLER, TX 75701-6414
(903) 258-4514
Mailing address
2518 MERRY LN, TYLER, TX 75701-6414
(903) 258-4514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
943803
TX
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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