Individual
MRS. DEBORAH ANN ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN/LPN
Contact information
Practice address
1219 ELLSWORTH FARM, SAN ANTONIO, TX 78260-1534
(210) 393-2659
Mailing address
1219 ELLSWORTH FARM, SAN ANTONIO, TX 78260-1534
(210) 393-2659
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1020125
TX
Other
Enumeration date
11/30/2020
Last updated
08/31/2021
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