Individual
LEDIA SUSANNE BIANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 CORONA DRIVE, SUITE 144, CORPUS CHRISTI, TX 78411
(361) 854-1110
(855) 448-9769
Mailing address
104 MIRASOL DR, SANDIA, TX 78383
(361) 207-1452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
838613
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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