Individual
AISSA ANN BRISENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5726 W HAUSMAN RD STE 109, SAN ANTONIO, TX 78249-1651
(210) 349-7030
Mailing address
957 COLEMAN ST, POTEET, TX 78065-4248
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
327174
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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