Individual
JORGE BALDERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11322 BRANDING DEPOT, SAN ANTONIO, TX 78254-5753
(210) 363-6913
Mailing address
11322 BRANDING DEPOT, SAN ANTONIO, TX 78254-5753
(210) 363-6913
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
317688
TX
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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