Individual
ADELINE MUKWAMUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4334 N LOOP 1604 W STE 103, SAN ANTONIO, TX 78249-3485
(210) 918-8737
Mailing address
4334 N LOOP 1604 W STE 103, SAN ANTONIO, TX 78249-3485
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
326408
NY
164X00000X
Licensed Vocational Nurse
Primary
300870
TX
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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