Individual
MRS. LISA YVONNE FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 CROWNHILL BLVD STE 300, SAN ANTONIO, TX 78209-1128
(210) 824-5530
Mailing address
3714 CASCADE CV, SAN ANTONIO, TX 78259-2349
(210) 724-6870
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
152584
TX
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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