Individual
ELVIRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 ORKNEY, SAN ANTONIO, TX 78223-4021
(210) 574-2910
Mailing address
PO BOX 23085, SAN ANTONIO, TX 78223-0085
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
353687
TX
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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