Individual
MRS. JERRE L RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7600 W MILITARY DR, # 158, SAN ANTONIO, TX 78227-1960
(210) 675-3104
Mailing address
7600 W MILITARY DR, # 158, SAN ANTONIO, TX 78227-1960
(210) 675-3104
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
48780
TX
Other
Enumeration date
02/12/2007
Last updated
07/09/2007
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