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Individual

ELIDA ZAMORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 CRENSHAW CIR, PORTLAND, TX 78374-4226
(956) 463-4541
Mailing address
200 CRENSHAW CIR, PORTLAND, TX 78374-4226
(956) 463-4541

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
307104
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
307104
LVN
TX
Enumeration date
03/08/2018
Last updated
03/08/2018
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