Individual
MRS. ELLEN CALLUENG CANGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 949-3884
Mailing address
8026 SEMINARIO, SAN ANTONIO, TX 78250-5177
(210) 522-9779
(210) 522-9779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
682787
TX
Other
Enumeration date
06/23/2012
Last updated
06/23/2012
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