Individual
MARIA LAURA CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6097 RABBIT RUN DR, BROWNSVILLE, TX 78526-4129
(956) 554-8116
Mailing address
6097 RABBIT RUN DR, BROWNSVILLE, TX 78526-4129
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
345922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
03/28/2019
Last updated
04/08/2020
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