Individual
ANNA WIXOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7 UPPER BALCONES RD, BOERNE, TX 78006-8546
(210) 606-6335
Mailing address
7 UPPER BALCONES RD, BOERNE, TX 78006-8546
(210) 606-6335
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330539
TX
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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