Individual
ANNA DOLORES VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 N KANSAS ST, FORT STOCKTON, TX 79735-5014
(432) 290-0583
(432) 290-0583
Mailing address
606 N KANSAS ST, FORT STOCKTON, TX 79735-5014
(432) 290-0583
(432) 290-0583
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
149195
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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