RENEE LICORISH

LIVE OAK, TX
NPI1437618097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP140787)
Enumeration Date2019-03-13
Last Update Date2023-02-01
Business Address
Mrs. RENEE LICORISH DNP, APRN, PMHNP-BC
12702 TOEPPERWEIN RD STE 201
LIVE OAK, TX 78233-3267
Phone number: 210-475-3617
Mailing Address
Mrs. RENEE LICORISH DNP, APRN, PMHNP-BC
12702 TOEPPERWEIN RD STE 201
LIVE OAK, TX 78233-3267
Phone number: 210-475-3617