DESTINY IBROM

PORT LAVACA, TX
NPI1487153573
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP136422)
Enumeration Date2018-02-05
Last Update Date2019-11-01
Business Address
DESTINY IBROM FNP
1200 N VIRGINIA ST
PORT LAVACA, TX 77979-2507
Phone number: 361-552-6721
Mailing Address
DESTINY IBROM FNP
1200 N VIRGINIA ST
PORT LAVACA, TX 77979-2507
Phone number:
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