Individual
JENNY MARIE DAVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2715 CORNERSTONE BLVD, EDINBURG, TX 78539-8464
(956) 627-2717
Mailing address
2715 CORNERSTONE BLVD, EDINBURG, TX 78539-8464
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
231851
TX
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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