Individual
MARA MARIE GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 E AVENUE B, SWEETWATER, TX 79556-5411
(325) 242-2624
Mailing address
712 E AVENUE B, SWEETWATER, TX 79556-5411
(325) 242-2624
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
322956
TX
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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