Individual
JAQUELINE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
10039 BIRCH FIELD DR, SAN ANTONIO, TX 78245-1700
(210) 542-5855
Mailing address
10039 BIRCH FIELD DR, SAN ANTONIO, TX 78245-1700
(210) 542-5855
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352898
TX
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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