Individual
ELISEO LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
4707 S STATE HIGHWAY 349, MIDLAND, TX 79706-7010
(432) 352-9704
Mailing address
4707 S STATE HIGHWAY 349, MIDLAND, TX 79706-7010
(432) 352-9704
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
197265
TX
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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