Individual
MISS MARIA IDA GALVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6950 CHASE RIDGE TRL APT 1119, FORT WORTH, TX 76137-7530
(361) 765-2772
Mailing address
6950 CHASE RIDGE TRL APT 1119, FORT WORTH, TX 76137-7530
(361) 765-2772
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
194609
TX
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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