Individual
JESSIKA LYNNE RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 MADISON OAK DR, SAN ANTONIO, TX 78258-3943
(210) 297-4985
Mailing address
117 CENIZO SPG, CIBOLO, TX 78108-2177
(210) 471-8660
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
891166
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
1033249
TX
Other
Enumeration date
01/14/2021
Last updated
05/25/2021
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