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Individual

MRS. JESSICA MARIA GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
1933 COTTONWOOD WAY, SAN ANTONIO, TX 78253-4495
(210) 577-9855
Mailing address
1933 COTTONWOOD WAY, SAN ANTONIO, TX 78253-4495
(210) 577-9855

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
328955
TX

Other

Enumeration date
03/13/2019
Last updated
03/13/2019
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