Individual
MS. ELIZABETH ALLEN VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4811 FAIRFORD DR, SAN ANTONIO, TX 78228-1013
(210) 689-9312
Mailing address
4811 FAIRFORD DR, SAN ANTONIO, TX 78228-1013
(210) 689-9312
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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