Individual
RUMALDO TANGUMA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
Mailing address
211 COVENT DR, KYLE, TX 78640-5503
(214) 326-4456
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
225399
TX
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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