Individual
DANETTE ORACOY GRAVADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BC
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
7403 WURZBACH RD APT 131, SAN ANTONIO, TX 78229-4494
(210) 396-2785
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
599233
TX
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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