Individual
DANA WILLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20202 CRESTA AVENIDA, SAN ANTONIO, TX 78256-1701
(210) 391-5096
Mailing address
20202 CRESTA AVENIDA, SAN ANTONIO, TX 78256-1701
(210) 391-5096
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
222462
TX
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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