Individual
HOLLIE ANN MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
10019 MAGNOLIA RIV, SAN ANTONIO, TX 78251-4277
(210) 381-2501
Mailing address
10019 MAGNOLIA RIV, SAN ANTONIO, TX 78251-4277
(210) 381-2501
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342930
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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