Individual
CECILIA MEDINA
Active
Sole proprietor
Yes
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
7251 GERANIUM PATH, SAN ANTONIO, TX 78218-3090
(210) 771-3906
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
221886
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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