Individual
DEBRA BORJON VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11502 FORT SMITH, SAN ANTONIO, TX 78245-3691
(707) 330-9155
Mailing address
11502 FORT SMITH, SAN ANTONIO, TX 78245-3691
(707) 330-9155
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
333010
TX
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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