Individual
KLARA DE LA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3319 ROCKDALE DR, PORTER, TX 77365-9681
(361) 816-6216
Mailing address
3319 ROCKDALE DR, PORTER, TX 77365-9681
(361) 816-6216
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
346416
TX
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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