Individual
EILEEN CANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
201 BISHOP ST, ALVARADO, TX 76009-4939
(817) 724-4629
Mailing address
201 BISHOP ST, ALVARADO, TX 76009-4939
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
229766
TX
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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