Individual
KASEY MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
639 DIANA DR, CONVERSE, TX 78109-1151
(210) 419-5974
Mailing address
639 DIANA DR, CONVERSE, TX 78109-1151
(210) 419-5974
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
795910
TX
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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