Individual
MISS KIMBERLY ANN OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9339 WALHALLA AVE, SAN ANTONIO, TX 78221-4125
(210) 387-1006
Mailing address
9339 WALHALLA AVE, SAN ANTONIO, TX 78221-4125
(210) 387-1006
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
327158
TX
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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