Individual
LINDA MALDONADO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6619 SPRING FOREST ST, SAN ANTONIO, TX 78249-2902
(210) 710-3029
Mailing address
6619 SPRING FOREST ST, SAN ANTONIO, TX 78249-2902
(210) 710-3029
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
337416
TX
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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