Individual
DOMINIQUE BALDERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9526 VERONICA ST, SAN ANTONIO, TX 78224-2550
(210) 852-9479
Mailing address
9526 VERONICA ST, SAN ANTONIO, TX 78224-2550
(210) 852-9479
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
335649
TX
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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