Individual
DR. RONDA PERRIN GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4301 BROADWAY ST, SAN ANTONIO, TX 78209-6318
(210) 829-6017
(210) 829-3125
Mailing address
615 OXALIS, SAN ANTONIO, TX 78260-4378
(210) 854-1774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP136576
TX
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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