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Individual

EMILYN FORTICH INCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
5401 NUTMEG TRL, LEON VALLEY, TX 78238-2324

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
754429
TX

Other

Enumeration date
11/06/2025
Last updated
11/06/2025
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