Individual
CARISSA ANN TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4020 NACO PERRIN BLVD, SAN ANTONIO, TX 78217-2579
(210) 644-8900
(210) 644-8925
Mailing address
4020 NACO PERRIN BLVD, SAN ANTONIO, TX 78217-2579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
642478
TX
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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