Individual
MRS. DEBRA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3201 CHERRY RIDGE ST STE 400D, SAN ANTONIO, TX 78230-4820
(210) 692-0222
Mailing address
12118 STONEY BEND ST, SAN ANTONIO, TX 78247-3426
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
210029
TX
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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