Individual
MR. ANTHNOY SHADE JONES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LV.N.
Contact information
Practice address
414 NAVARRO ST, SAN ANTONIO, TX 78205-2516
(210) 589-2265
Mailing address
2224 OAK PL, SCHERTZ, TX 78154-1827
(210) 589-2265
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
159307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159307
LVN CERTIFICATION NUMBER
TX
Enumeration date
03/28/2014
Last updated
03/28/2014
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