Individual
ISRAELITE NAZAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3304 BALBOA WAY, ROUND ROCK, TX 78665-2252
(512) 600-3383
(512) 856-9483
Mailing address
3304 BALBOA WAY, ROUND ROCK, TX 78665-2252
(512) 600-3383
(512) 856-9483
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300458
TX
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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