Individual
MRS. ELVIRA S DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNS
Contact information
Practice address
527 N LEONA ST, SAN ANTONIO, TX 78207-3110
(210) 731-1300
(210) 738-8025
Mailing address
3031 IH 10 W, SAN ANTONIO, TX 78201-5159
(210) 731-1300
(210) 738-8025
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
444580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151331903
—
TX
Enumeration date
05/25/2006
Last updated
08/19/2008
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