Individual
DIANA CAROLINA JUSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED VOCATIONAL
Contact information
Practice address
8700 CROWNHILL BLVD STE 300, SAN ANTONIO, TX 78209-1128
(210) 824-5530
Mailing address
14111 VANCE JACKSON RD APT 33207, SAN ANTONIO, TX 78249-2190
(210) 262-2322
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332466
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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