Individual
ESTELLA GUERRA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4444 CORONA DR # 107, CORPUS CHRISTI, TX 78411-4324
(361) 400-1886
Mailing address
PO BOX 866, BLOOMINGTON, TX 77951-0866
(361) 212-6040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
173598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173598
NURSE
TX
Enumeration date
08/17/2018
Last updated
08/17/2018
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