Individual
MISS LUCERO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8600 WURZBACH RD STE 700, SAN ANTONIO, TX 78240-4332
(210) 737-8090
Mailing address
310 E HOLLAND ST, CRYSTAL CITY, TX 78839-2031
(210) 801-4936
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347981
TX
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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