Individual
DENNIE ELLA RICO-PALOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
346 PRESTWICK BLVD, SAN ANTONIO, TX 78223-1944
(210) 705-0211
Mailing address
346 PRESTWICK BLVD, SAN ANTONIO, TX 78223-1944
(210) 705-0211
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
209395
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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