Individual
JACQUELINE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11130 VANCE JACKSON RD APT 1303, SAN ANTONIO, TX 78230-2567
(832) 498-9577
Mailing address
11130 VANCE JACKSON RD APT 1303, SAN ANTONIO, TX 78230-2567
(832) 498-9577
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
351343
TX
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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