Individual
MRS. HALEY MICHELLE LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 CARTER DR, DIBOLL, TX 75941-2502
(936) 404-9120
Mailing address
410 CARTER DR, DIBOLL, TX 75941-2502
(936) 404-9120
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
337571
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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