Individual
MRS. BLANCA LETICIA JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4701 S SUGAR RD, EDINBURG, TX 78539-7012
(956) 547-5404
Mailing address
15602 BASS 3 LN, HARLINGEN, TX 78552-2281
(956) 364-3061
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
201997
TX
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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