Individual
MARINA FAVELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5622 EVERS RD APT 4608, SAN ANTONIO, TX 78238-1753
(210) 322-4933
Mailing address
5622 EVERS RD APT 4608, SAN ANTONIO, TX 78238-1753
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
329117
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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