Individual
MRS. GRETA MILLS MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5253 PRUE RD STE 315C, SAN ANTONIO, TX 78240-1758
(210) 750-8100
(210) 750-8101
Mailing address
5253 PRUE RD STE 315C, SAN ANTONIO, TX 78240-1758
(210) 750-8100
(210) 750-8101
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
84933
TX
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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