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Individual

COLIN FOMIN AMINKENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
5372 FREDERICKSBURG RD BLDG F, SAN ANTONIO, TX 78229-3558
(210) 261-1000
(210) 615-5731
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1000
(210) 261-1821

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP138662
TX

Other

Enumeration date
09/14/2018
Last updated
10/28/2019
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