Individual
MRS. LUCILLE Y FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 248, SAN ANTONIO, TX 78212-5609
(210) 220-3737
(210) 220-3747
Mailing address
1303 MCCULLOUGH AVE, SUITE 248, SAN ANTONIO, TX 78212-5609
(210) 220-3737
(210) 220-3747
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01527
TX
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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