Individual
TREENA CARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9939 HWY 151, SAN ANTONIO, TX 78251
(775) 233-4234
Mailing address
14302 MOON EYE TRAIL, SAN ANTONIO, TX 78254
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1111466
TX
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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