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Individual

CRYSTAL DIANE HUERTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
3201 CHERRY RIDGE ST STE D400, SAN ANTONIO, TX 78230-4820
(210) 692-0222
Mailing address
3531 COPPER RIM, SAN ANTONIO, TX 78245-1682
(210) 313-2377

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
213267
TX

Other

Enumeration date
02/28/2018
Last updated
02/28/2018
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