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NPI Code Detail

MEDICARE: VICTORIA ROXANE RESENDIZ

MEDICARE:   VICTORIA ROXANE RESENDIZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse346675TX

General Provider Information

NPI Number : 1609349992
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ROXANE RESENDIZ
Provider Business Mailing Address
First Line : 1416 LONGVIEW ST
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76306-4647
Country : US
Telephone Number : 940-923-8754
Fax Number :
Provider Business Practice Location Address
First Line : 1416 LONGVIEW ST
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76306-4647
Country : US
Telephone Number : 940-923-8754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2019
Last Update Date : 01/09/2019

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Directions to “ VICTORIA ROXANE RESENDIZ ” Practice Location

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