Individual
LESLIE NAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 SHORE LINE DR, WICHITA FALLS, TX 76308-5719
(940) 232-0418
Mailing address
801 SHORE LINE DR, WICHITA FALLS, TX 76308-5719
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
223873
TX
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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