Individual
KRISTINE J ENCINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-3636
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-3636
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
225186
TX
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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