Individual
ISABEL CRISTINA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5419 SHIVALIK WAY, SAN ANTONIO, TX 78228
(210) 609-9878
Mailing address
5419 SHIVALIK WAY, SAN ANTONIO, TX 78228
(210) 609-9878
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
329632
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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