Individual
IVELISSE POSADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(838) 995-9292
Mailing address
9214 CALABRIAN PINE CT, RICHMOND, TX 77407-1793
(832) 607-1979
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
233840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233840
LICENSED VOCATIONAL NURSE
—
01
—
35168640
DRIVING LICENSE
TX
Enumeration date
02/20/2018
Last updated
02/20/2018
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