Individual
ELLAH GWANYANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 LA FALDA # SA, SAN ANTONIO, TX 78258-2930
(510) 459-2383
Mailing address
903 LA FALDA # SA, SAN ANTONIO, TX 78258-2930
(510) 459-2383
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
898596
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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