Individual
ELISSA KALINCHUK GUADARRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7938 NEW WORLD, SAN ANTONIO, TX 78239-3515
(830) 719-3096
Mailing address
7938 NEW WORLD, SAN ANTONIO, TX 78239-3515
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
915339
TX
164X00000X
Licensed Vocational Nurse
168502
TX
Other
Enumeration date
03/20/2007
Last updated
08/02/2022
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