Individual
MS. DEBRA DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5923 LAKEDALE ST, SAN ANTONIO, TX 78222-1713
(210) 445-1917
Mailing address
5923 LAKEDALE ST, SAN ANTONIO, TX 78222-1713
(210) 445-1917
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
127835
TX
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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