Individual
MRS. ILDA LOMBARDI KEENUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4717 S JACKSON ST APT 153, SAN ANGELO, TX 76903-8014
(325) 212-9457
Mailing address
4717 S JACKSON ST APT 153, SAN ANGELO, TX 76903-8014
(325) 212-9457
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
103541
TX
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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