Individual
MS. IVA IRENE ANTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8610 N NEW BRAUNFELS AVE STE 405, SAN ANTONIO, TX 78217-6358
(210) 804-0193
(210) 804-0194
Mailing address
8610 N NEW BRAUNFELS AVE STE 405, SAN ANTONIO, TX 78217-6358
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
134409
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134409
LVN
TX
Enumeration date
08/07/2018
Last updated
08/07/2018
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