Individual
LINESEY CUPIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2011 BRAVOS MANOR LN, FRESNO, TX 77545-1557
(337) 707-6601
Mailing address
2011 BRAVOS MANOR LN, FRESNO, TX 77545-1557
(337) 707-6601
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
353187
TX
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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