Individual
ATLANTIS VICTORIA DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1602 S COLLEGE AVE APT 3, BRYAN, TX 77801-1233
(979) 721-1708
Mailing address
1602 S COLLEGE AVE APT 3, BRYAN, TX 77801-1233
(979) 721-1708
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338266
TX
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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