Individual
ALFRED JOSEF RASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
4327 SWAN FRST, SAN ANTONIO, TX 78222-4905
(210) 333-1534
Mailing address
7611 BISMARCK LK, CONVERSE, TX 78109-1051
(210) 945-2656
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
147705
TX
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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