Individual
MARY VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24715 MARKS RD, SPLENDORA, TX 77372-3414
(281) 761-1490
Mailing address
24715 MARKS RD, SPLENDORA, TX 77372-3414
(281) 761-1490
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
345637
TX
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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