Individual
AMBER PATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5726 W HAUSMAN RD, SAN ANTONIO, TX 78249
(210) 349-7030
Mailing address
48 WEATHERING CRK, SAN ANTONIO, TX 78238-2409
(210) 419-2209
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
212283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13772540
DRIVERS LICENSE
TX
Enumeration date
08/10/2018
Last updated
08/10/2018
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