Individual
CRYSTAL GATICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5443 MAGNES ST, SAN ANTONIO, TX 78227-2259
(210) 287-9359
Mailing address
5443 MAGNES ST, SAN ANTONIO, TX 78227-2259
(210) 287-9359
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
326049
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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