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Individual

ERADEE ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
8700 CROWNHILL BLVD STE 300, SAN ANTONIO, TX 78209-1128
(210) 824-5530
Mailing address
12311 CULEBRA RD APT 1104, SAN ANTONIO, TX 78253-6730
(206) 402-7119

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1015108
TX

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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