Individual
JONNA LENORA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1145 ROSS ST, SAN BENITO, TX 78586-4421
(956) 361-6000
Mailing address
806 RIDGEGATE PL, HUNTSVILLE, AL 35801-1960
(256) 652-7776
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2125596
TX
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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