Individual
DOLORES EDITH CONSTANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13629 TERCEL TRCE, MANOR, TX 78653-3698
(512) 621-3588
Mailing address
13915 BURNET RD STE 303, AUSTIN, TX 78728-6505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
746297
TX
163W00000X
Registered Nurse
Primary
746897
TX
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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