Individual
MARIELA TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2103 MILE 3 RD, PENITAS, TX 78576-2032
(656) 617-0733
Mailing address
2522 BUDDY OWENS AVE, MCALLEN, TX 78504-5464
(956) 630-1116
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
335245
TX
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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