Individual
JUAN MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9130 DUBLIN SPG, SAN ANTONIO, TX 78254-5446
(951) 746-8595
Mailing address
9130 DUBLIN SPG, SAN ANTONIO, TX 78254-5446
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
346068
TX
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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