Individual
ELISABETH DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13102 MAPLE PARK DR, SAN ANTONIO, TX 78249-3628
(013) 022-2506
Mailing address
65TH MED BDE, BOX 775, APO, AP 96205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
660893
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
660893
TX
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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