Individual
ELIZABETH GUADALUPE OLVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 CORONA DR STE 107, CORPUS CHRISTI, TX 78411-4374
(362) 444-1886
Mailing address
3110 HARMONY LN, MISSION, TX 78574-9341
(956) 862-6509
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
195466
TX
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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