Individual
IRENE MICHELLE CALVILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2609 NESSUH AVE, EDINBURG, TX 78541-4814
(956) 630-1116
(977) 626-0431
Mailing address
404 E STUBBS ST, EDINBURG, TX 78539-4557
(956) 648-3113
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
337560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337560
—
TX
Enumeration date
05/01/2018
Last updated
05/01/2018
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