Individual
NOEMI XOCHICALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1433 PEPPERIDGE LN, FORT WORTH, TX 76131-5205
(219) 218-0997
Mailing address
1433 PEPPERIDGE LANE, FORTWORTH, TX 76131
(219) 218-0997
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
229897
TX
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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