Individual
DOROTHY JANE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7330 SAN PEDRO AVE STE 800, SAN ANTONIO, TX 78216-6268
(210) 733-0524
(866) 760-4570
Mailing address
2662 JADE HL, SAN ANTONIO, TX 78251-2456
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
133711
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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