Individual
KRISTINE LACEY RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 WILLOW VW, CIBOLO, TX 78108-2296
(210) 608-1453
Mailing address
344 WILLOW VW, CIBOLO, TX 78108-2296
(210) 608-1453
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
321211
TX
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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