Individual
JACQUELINE B MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8700 CROWNHILL BLVD, SAN ANTONIO, TX 78209-1136
(210) 824-5530
Mailing address
8700 CROWNHILL BLVD, SAN ANTONIO, TX 78209-1136
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
30448
TX
Other
Enumeration date
08/24/2018
Last updated
12/06/2019
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