Individual
MISS JACLYN CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4503 S ZARZAMORA ST, SAN ANTONIO, TX 78211-1207
(210) 644-8600
(210) 644-8625
Mailing address
4503 S ZARZAMORA ST, SAN ANTONIO, TX 78211-1207
(210) 644-8600
(210) 644-8625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
674569
TX
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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