Individual
JENEVA M RICHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
14111 VANCE JACKSON RD APT 37203, SAN ANTONIO, TX 78249-2195
(210) 643-2964
Mailing address
14111 VANCE JACKSON RD APT 37203, SAN ANTONIO, TX 78249-2195
(210) 643-2964
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336490
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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