Individual
KRISTEN NICOLE O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
259 BOBWHITE WAY, SAN ANTONIO, TX 78253-6977
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1193576
TX
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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