Individual
CLEO MILAGRO LIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 W ADAMS AVE APT 259, TEMPLE, TX 76504-2846
(773) 206-0229
Mailing address
3101 W ADAMS AVE APT 259, TEMPLE, TX 76504-2846
(773) 206-0229
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343677
TX
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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